CHARLES G PETTIGREW JR. CRNA
NPI 1578532008
Nurse Anesthetist, Certified Registered in Oak Ridge, TN

Q: What is Charles Pettigrew's NPI number?

The NPI number for Charles Pettigrew is 1578532008. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Charles Pettigrew's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Pettigrew was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 16, 2006Accepts Medicare Assignment

990 OAK RIDGE TPKE, ANESTHESIA DEPT, OAK RIDGE, TN 37830(865) 481-1112(770) 237-1124 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Charles G Pettigrew Jr. Crna NPPES

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

CHARLES G PETTIGREW JR. CRNA (NPI 1578532008) is an individual nurse anesthetist, certified registered in Oak Ridge, Tennessee, licensed in Tennessee (94506) and active in the NPI registry since March 2006. He is affiliated with Methodist Medical Center Of Oak Ridge and is a graduate of Other (1995).

NPPES Registry Identity

NPI1578532008

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCHARLES G PETTIGREW JR.Credential: CRNA

Location Address990 OAK RIDGE TPKE, ANESTHESIA DEPTOak Ridge, TN 37830-6976

Mailing AddressPo Box 5059Oak Ridge, TN 37831-5059 · (800) 611-6713 · Fax (770) 237-1124

Phone(865) 481-1112

Fax(770) 237-1124

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578532008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 94506

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

990 OAK RIDGE TPKE, Oak Ridge, TN 37830

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Other Identifiers 1

Other94506TN · Rn License #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles G Pettigrew Jr. Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133211550

PECOS Enrollment IDI20070815000359

Medicare Billing Reassignment

Medicare enrollment records show Charles Pettigrew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Anesthesia Group, PC

Same address

Anesthesiology

990 OAK RIDGE TPKE, ANESTHESIA DEPT
Oak Ridge, TN 37830

Reassigned Medicare billing, Tennessee enrollment
289 clinicians in this Medicare group

NPI 1639148117 (865) 691-9000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440034

Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAUREN WALRAVEN HOWELL R.D.

Dietitian, Registered

990 OAK RIDGE TPKE, FOOD AND NUTRITION SERVICES
OAK RIDGE, TN 37830

Anderson County (865) 835-4109

CHUKWUMA UMUNAKWE M.D.

Emergency Medicine