DR. ADAM ADAIR PETTEY M.D.
NPI 1629051677
Dermatology in Roseville, CA

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
2120 PROFESSIONAL DR, ROSEVILLE, CA 95661(916) 771-6662 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam Adair Pettey M.d. NPPES

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

DR. ADAM ADAIR PETTEY M.D. (NPI 1629051677) is an individual dermatology provider in Roseville, California, licensed in Florida (ME90875) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2003).

NPPES Registry Identity

NPI1629051677
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. ADAM ADAIR PETTEYCredential: M.D.
Location Address2120 PROFESSIONAL DRRoseville, CA 95661-3700
Mailing Address1600 Eureka Rd, Department Of DermatologyRoseville, CA 95661-3027 · (916) 771-6662
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2003
Enumeration DateNovember 23, 2005
Last NPPES UpdateDecember 13, 2021
NPI 1629051677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME90875
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2120 PROFESSIONAL DR, Roseville, CA 95661

Other Identifiers 1

Other48701FL · Bluecross/blueshield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Adair Pettey M.d. 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 ID6204804859
PECOS Enrollment IDI20071201000179
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 12

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

Pediatrics
2120 PROFESSIONAL DR
ROSEVILLE, CA 95661
Dermatology
2120 PROFESSIONAL DR
ROSEVILLE, CA 95661
Physical Therapist
2120 PROFESSIONAL DR
ROSEVILLE, CA 95661
Dermatology
2120 PROFESSIONAL DR
ROSEVILLE, CA 95661
Physical Medicine & Rehabilitation
2120 PROFESSIONAL DR
ROSEVILLE, CA 95661
Acupuncturist
2120 PROFESSIONAL DR, SUITE 135
ROSEVILLE, CA 95661
Acupuncturist
2120 PROFESSIONAL DR, SUITE 210
ROSEVILLE, CA 95661
Surgery
2120 PROFESSIONAL DR
ROSEVILLE, CA 95661

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 Adam Pettey's NPI number?

The NPI number for Adam Pettey is 1629051677. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Adam Pettey located?

Adam Pettey practices at 2120 Professional Dr, Roseville, CA 95661. The listed phone number is (916) 771-6662.

What is Adam Pettey's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Adam Pettey enrolled in Medicare?

Yes. Adam Pettey 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.

When was this NPI record last updated?

The NPPES record for Adam Pettey was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.