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HALEY JEAN PETGES RD
NPI 1609753607
Dietitian, Registered in Dayton, OH

Active since August 20, 2025Accepts Medicare Assignment
2555 S DIXIE DR STE 112, DAYTON, OH 45409(937) 220-6611 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Haley Jean Petges Rd NPPES

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

HALEY JEAN PETGES RD (NPI 1609753607) is an individual dietitian, registered in Dayton, Ohio, licensed in (1065869) and active in the NPI registry since August 2025. She is affiliated with Kettering Health Dayton and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609753607
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameHALEY JEAN PETGESCredential: RD
Location Address2555 S DIXIE DR STE 112Dayton, OH 45409-1532
Mailing Address793 Cliffside DrFairborn, OH 45324-5855 · (262) 960-1933
Phone(937) 220-6611
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1609753607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 1065869
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2555 S DIXIE DR STE 112, Dayton, OH 45409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Haley Jean Petges Rd 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 ID9234633298
PECOS Enrollment IDI20250922002059

Medicare Billing Reassignment

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

Kettering Independent Medical Group Inc
5.9 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629

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.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

MADELINE BURSON MDN, RDN, LD
Dietitian, Registered
2555 S DIXIE DR STE 112
DAYTON, OH 45409
Montgomery County (937) 220-6611
MARK WILLIAM GOODWIN MFN, RDN, LD
Dietitian, Registered
2555 S DIXIE DR STE 112
DAYTON, OH 45409
Montgomery County (937) 220-6611
LINDSEY SMITH MS, RD, LD
Dietitian, Registered (Nutrition, Obesity and Weight Management)
2555 S DIXIE DR STE 112
DAYTON, OH 45409
Montgomery County (937) 220-6611

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 Haley Petges's NPI number?

The NPI number for Haley Petges is 1609753607. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Haley Petges located?

Haley Petges practices at 2555 S Dixie Dr Ste 112, Dayton, OH 45409. The listed phone number is (937) 220-6611.

What is Haley Petges's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Haley Petges enrolled in Medicare?

Yes. Haley Petges is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Haley Petges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Petges reassigns Medicare benefits to Kettering Independent Medical Group Inc (Miamisburg, OH). The 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 Haley Petges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Petges accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Haley Petges as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Haley Petges affiliated with any hospitals?

According to CMS data, Haley Petges is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Haley Petges was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.