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DR. MICHAEL D. PETTIBON M.D.
NPI 1699752097
Anesthesiology in Dallas, TX

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
93.5/100
CMS Quality Rating
6606 LBJ FWY, STE 200, DALLAS, TX 75240(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2020, Jun 23, 2018, Jun 16, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Michael D. Pettibon M.d. NPPES

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

DR. MICHAEL D. PETTIBON M.D. (NPI 1699752097) is an individual anesthesiology provider in Dallas, Texas, licensed in Texas (H0722) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hurst-euless-bedford, and is a graduate of University Of Texas Medical School At San Antonio (1985).

NPPES Registry Identity

NPI1699752097
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. MICHAEL D. PETTIBONCredential: M.D.
Location Address6606 LBJ FWY, STE 200Dallas, TX 75240
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 715-5000 · Fax (972) 233-3666
Phone(972) 715-5000
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1985
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 1, 20205 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1699752097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · H0722
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License H0722 (TX)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License H0722 (TX)
6606 LBJ FWY, Dallas, TX 75240
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Other Identifiers 3

Medicaid132632410TX
Other8EL144TX · Bcbs
OtherP01446653TX · Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Dr. Michael D. Pettibon 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 ID9335115096
PECOS Enrollment IDI20081024000187
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 4

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
11 services11 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450639
Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southlake

Acute Care Hospitals · Southlake, TX
OwnershipGovernment - State
CMS Certification Number450888
Location1545 E Southlake BlvdSouthlake, TX 76092 · Tarrant County
Emergency services

Texas Health Harris Methodist Hospital Alliance

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670085
Location10864 Texas Health TrailFort Worth, TX 76244 · Tarrant County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

Other Providers at the Same Location NPPES 20

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

ADAM PEEPLES CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
JEANNIE K MURPHY CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
MARSHALL ANDERSEN CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Dallas County (972) 715-5000
JORGE AVILA-HERNANDEZ MD
Anesthesiology
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Dallas County (972) 715-5000
DR. JAMES PYRON M.D.
Anesthesiology
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
WARREN CUSICK CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Dallas County (972) 715-5000
DR. SHANON M. COOKE MD
Anesthesiology
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000
RONALD PRESTAGE CRNA
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Dallas County (972) 715-5000

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 Michael Pettibon's NPI number?

The NPI number for Michael Pettibon is 1699752097. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Michael Pettibon located?

Michael Pettibon practices at 6606 Lbj Fwy Ste 200, Dallas, TX 75240. The listed phone number is (972) 715-5000.

What is Michael Pettibon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Pettibon enrolled in Medicare?

Yes. Michael Pettibon 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 Michael Pettibon accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Michael Pettibon 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 Michael Pettibon affiliated with any hospitals?

According to CMS data, Michael Pettibon is affiliated with Texas Health Harris Methodist Hurst-Euless-Bedford, Texas Health Harris Methodist Hospital Southlake and Texas Health Harris Methodist Hospital Alliance.

When was this NPI record last updated?

The NPPES record for Michael Pettibon was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.