KELLY R PETTIT MD
NPI 1659454544
Emergency Medicine in Redmond, OR

Q: What is Kelly Pettit's NPI number?

The NPI number for Kelly Pettit is 1659454544. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Kelly Pettit's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Pettit was last updated on July 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2006PECOS Enrolled

1253 NW CANAL BLVD, REDMOND, OR 97756(541) 548-8131(541) 526-6608 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly R Pettit Md NPPES

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

KELLY R PETTIT MD (NPI 1659454544) is an individual emergency medicine provider in Redmond, Oregon, licensed in New Mexico (MD2006-0194) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659454544

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKELLY R PETTITCredential: MD

Location Address1253 NW CANAL BLVDRedmond, OR 97756-1334

Mailing Address275 E 200 SSalt Lake City, UT 84111-2002 · (800) 366-1884

Phone(541) 548-8131

Fax(541) 526-6608

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateJuly 1, 2022

NPPES CertifiedJuly 1, 2022

✔ NPI 1659454544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NM · MD2006-0194

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1253 NW CANAL BLVD, Redmond, OR 97756

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly R Pettit Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for problem of high severity 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

38 services38 patients

Emergency department visit for problem of moderate severity 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services17 patients

Emergency department visit for life threatening or functioning severity 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.