JOSEPH LEE PETTY M.D.
NPI 1649461211
Obstetrics & Gynecology in Tyler, TX

Q: What is Joseph Petty's NPI number?

The NPI number for Joseph Petty is 1649461211. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Q: What is Joseph Petty's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Petty was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 07, 2007PECOS EnrolledAccepts Medicare Assignment

928 N GLENWOOD BLVD, TYLER, TX 75702(903) 535-9041(903) 533-0726 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Joseph Lee Petty M.d. NPPES

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

JOSEPH LEE PETTY M.D. (NPI 1649461211) is an individual obstetrics & gynecology provider in Tyler, Texas, licensed in Texas (N6579) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of University Of Texas Medical School At Houston (2006).

NPPES Registry Identity

NPI1649461211

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJOSEPH LEE PETTYCredential: M.D.

Location Address928 N GLENWOOD BLVDTyler, TX 75702-5055

Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041 · Fax (903) 747-8163

Phone(903) 535-9041

Fax(903) 533-0726

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2006

Enumeration DateAugust 7, 2007

Last NPPES UpdateJanuary 18, 2023

NPPES CertifiedJanuary 18, 2023

✔ NPI 1649461211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · N6579

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

928 N GLENWOOD BLVD, Tyler, TX 75702

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Other Identifiers 4

Medicaid215374402TX

OtherTXB102462TX · Medicare Group Ptan

Other295206101TX · Medicaid Group Number

OtherTXB146789TX · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Joseph Lee Petty 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 ID1557486404

PECOS Enrollment IDI20100915000587

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.

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 19

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

DR. ZAREH H KHACHIKIAN M.D.

Obstetrics & Gynecology

928 N GLENWOOD BLVD
TYLER, TX 75702

Smith County (903) 535-9041

RABIAH ZAFAR D.O

Obstetrics & Gynecology

928 N GLENWOOD BLVD
TYLER, TX 75702

Smith County (909) 510-9130

DR. RICHARD O ROTHWELL M.D.

Obstetrics & Gynecology (Obstetrics)

928 N GLENWOOD BLVD, SUITE 415
TYLER, TX 75702

Smith County (903) 535-9041

COMMUNITY HEALTH CLINIC OF NORTHEAST TEXAS

Clinic/Center (Federally Qualified Health Center (FQHC))

928 N GLENWOOD BLVD
TYLER, TX 75702

Smith County (903) 533-7400

MARGARET VIDAL-KUTIN WHCNP

Nurse Practitioner (Women's Health)

928 N GLENWOOD BLVD
TYLER, TX 75702

Smith County (903) 535-9041

COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS

Clinic/Center (Federally Qualified Health Center (FQHC))

928 N GLENWOOD BLVD
TYLER, TX 75702

Smith County (903) 526-4900

COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS

Clinic/Center (Federally Qualified Health Center (FQHC))

928 N GLENWOOD BLVD
TYLER, TX 75702

Smith County (903) 533-7400

FRANCES DOREEN CASANOVA CNM

Advanced Practice Midwife

928 N GLENWOOD BLVD
TYLER, TX 75702

Smith County (903) 535-9041

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 Joseph Petty's NPI number?

The NPI number for Joseph Petty is 1649461211. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Joseph Petty located?

Joseph Petty practices at 928 N Glenwood Blvd, Tyler, TX 75702. The listed phone number is (903) 535-9041.

What is Joseph Petty's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joseph Petty enrolled in Medicare?

Yes. Joseph Petty 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.

What insurance does Joseph Petty accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Joseph Petty 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 Joseph Petty affiliated with any hospitals?

According to CMS data, Joseph Petty is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Petty was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.