DIX PETTEY O.D., M.S. NPI 1629457262

Optometrist in Salt Lake City, UT

NPI 1629457262 Individual Male Years of Experience 12 Optometrist Accepts Medicare Approved Payment

About DIX PETTEY

Dix Pettey is a provider established in Salt Lake City, Utah and his medical specialization is optometrist with more than 12 years of experience. He graduated from Ohio State University - College Of Optometry in 2010. The NPI number of Dix Pettey is 1629457262 and was assigned on May 2015. The practitioner's primary taxonomy code is 152W00000X with license number 9418444-9934 (UT). The provider is registered as an individual and his NPI record was last updated November 2021. Dix Pettey is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1629457262

Provider Name DIX PETTEY O.D., M.S.
Provider Location Address65 S MARIO CAPECCHI DR SALT LAKE CITY, UT 84132
Provider Mailing Address65 S MARIO CAPECCHI DR SALT LAKE CITY, UT 84132
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year2010
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-28-2015
Last Update Date11-11-2021


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.9418444-9934
License StateUT
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

DIX PETTEY O.D., M.S.
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2352

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Mailing Address

DIX PETTEY O.D., M.S.
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2352



Medicare Participation

PECOS PAC ID1658683735
PECOS Enrollment IDI20150701002664
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 21Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dix Pettey is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY OF UTAH HOSPITALS AND CLINICS50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84132
(801) 581-2121Acute Care Hospitals460009

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225490444DR. REBEKAH GENSURE M.D., PH.D.
Individual
Student in an Organized Health Care Education/Training Program65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1790239408 AMY HENDERSON LCSW
Individual
Social Worker (Clinical)65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-0499
1871884254 LAURA LUNDT HANSON
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1962989467 EMILY SPOTH LCGC
Individual
Genetic Counselor, MS65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1649768532 MICHAEL MURRI MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1205331287 KATHERINE SHING HU MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1538666151 ARIANA LEVIN MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1427546779 MARSHALL JIN HUANG MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1225418791 INNA GRISHKAN STROH M.D., PH.D.
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1033679840 SEAN M. COLLON MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1760942833 ALLIE M. SIMPSON MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1942761739 ABIGAIL P. JEBARAJ MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1740741545 COLE J. SWISTON MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1669853750UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Organization
Social Worker (Clinical)65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2121
1295824886UNIVERSITY OF UTAH
Organization
Pharmacy (Community/Retail Pharmacy)65 S MARIO CAPECCHI DR SUITE 2430
SALT LAKE CITY, UT 84132
(801) 585-6522
1538747761DR. NNANA AMAKIRI MD
Individual
Student in an Organized Health Care Education/Training Program65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1801462809DR. IQBAL KARIM AHMED MD
Individual
Ophthalmology (Glaucoma Specialist)65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-6622
1346869815 LYDIA SAUER MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 581-2352
1518595958 TYLER J. ETHERIDGE MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-6701
1699394874 ANTHONY P. MAI MD
Individual
Ophthalmology65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
(801) 585-6701

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.