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RUSSELL PETRIE PA-C
NPI 1710927710
Physician Assistant in Utica, NY

Active since June 07, 2006PECOS Enrolled
2209 GENESEE ST, UTICA, NY 13501(315) 798-8111(315) 734-3158 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Petrie Pa-c NPPES

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

RUSSELL PETRIE PA-C (NPI 1710927710) is an individual physician assistant in Utica, New York, licensed in New York (004697) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710927710
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUSSELL PETRIECredential: PA-C
Location Address2209 GENESEE STUtica, NY 13501-5930
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4300
Phone(315) 798-8111
Fax(315) 734-3158
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1710927710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 004697
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2209 GENESEE ST, Utica, NY 13501
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Other Identifiers 2

Medicare ID-Type UnspecifiedBB7978NJ
Medicare UPINS32428

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Petrie Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

ANGELENE RONQUILLO ST
Speech-Language Pathologist
2209 GENESEE ST
UTICA, NY 13501
Oneida County (315) 798-8160
DR. CHOWDARY V CHIRUMAMILLA MD
Anesthesiology
2209 GENESEE ST
UTICA, NY 13501
Oneida County (315) 798-9788
MICHAEL SCOTT MONTAGNA
Rehabilitation Practitioner
2209 GENESEE ST
UTICA, NY 13501
Oneida County (315) 801-8100
DR. MAURICE L OEHLSEN M.D.
Radiology (Diagnostic Radiology)
2209 GENESEE ST
UTICA, NY 13501
Oneida County (315) 798-8171
MELANIE TEDESCO LMSW
Social Worker
2209 GENESEE ST
UTICA, NY 13501
Oneida County (315) 801-3355
JULIE MURPHY LMSW
Social Worker
2209 GENESEE ST
UTICA, NY 13501
Oneida County (315) 801-3355
ELLEN KARWACKI NPP
Nurse Practitioner (Psychiatric/Mental Health)
2209 GENESEE ST
UTICA, NY 13501
Oneida County (315) 734-3065
DR. EMMANUEL V BAPANA MD
Internal Medicine
2209 GENESEE ST
UTICA, NY 13501
Oneida County (551) 486-0342

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 Russell Petrie's NPI number?

The NPI number for Russell Petrie is 1710927710. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Russell Petrie located?

Russell Petrie practices at 2209 Genesee St, Utica, NY 13501. The listed phone number is (315) 798-8111.

What is Russell Petrie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Russell Petrie enrolled in Medicare?

Yes. Russell Petrie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Petrie was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.