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ROBERT T PETTY DO
NPI 1497795496
Emergency Medicine in Sonoma, CA

Active since June 07, 2006PECOS Enrolled
866 DONNER AVE, SONOMA, CA 95476(360) 708-7940 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert T Petty Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT T PETTY DO (NPI 1497795496) is an individual emergency medicine provider in Sonoma, California, licensed in Washington (DO00001542) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497795496
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROBERT T PETTYCredential: DO
Location Address866 DONNER AVESonoma, CA 95476-7136
Mailing Address866 Donner AveSonoma, CA 95476-7136 · (360) 708-7940
Phone(360) 708-7940
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1497795496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · DO00001542
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 20A 4256 (CA), OP1542 (WA)
866 DONNER AVE, Sonoma, CA 95476
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Other Identifiers 6

Other3075PEWA · Bswa
Medicare PING8859330WA
Medicaid8214223WA
Medicare PINP00319317WA
Other0209144WA · Liwa
Medicare UPINE32891WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert T Petty Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Petty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sonoma Valley Emergency Physicians Medical Group, Inc
0.7 mi
Emergency Medicine
347 ANDRIEUX ST
Sonoma, CA 95476
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
NPI 1710164629 (330) 493-4443
Cep America - California
14 mi
Emergency Medicine
180 ROWLAND WAY
Novato, CA 94945
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1124577259 (415) 209-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95476 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Petty's NPI number?

The NPI number for Robert Petty is 1497795496. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Robert Petty located?

Robert Petty practices at 866 Donner Ave, Sonoma, CA 95476. The listed phone number is (360) 708-7940.

What is Robert Petty's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Petty enrolled in Medicare?

Yes. Robert Petty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Petty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Petty reassigns Medicare benefits to 2 organizations: Sonoma Valley Emergency Physicians Medical Group, Inc (Sonoma, CA) and Cep America - California (Novato, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Petty was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.