DR. JOHN B PETTWAY M.D.
NPI 1811958796
Family Medicine in Arlington, TX

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
121 E RANDOL MILL RD, ARLINGTON, TX 76011(817) 860-1309 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John B Pettway M.d. NPPES

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

DR. JOHN B PETTWAY M.D. (NPI 1811958796) is an individual family medicine provider in Arlington, Texas, licensed in Texas (J4434) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1992).

NPPES Registry Identity

NPI1811958796
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN B PETTWAYCredential: M.D.
Location Address121 E RANDOL MILL RDArlington, TX 76011-5834
Mailing Address121 E Randol Mill RdArlington, TX 76011-5834 · (817) 860-1309
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1992
Enumeration DateMarch 30, 2006
Last NPPES UpdateFebruary 16, 2011
NPI 1811958796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J4434
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

121 E RANDOL MILL RD, Arlington, TX 76011

Other Identifiers 3

Medicare ID-Type Unspecified8A7275TX
Medicaid04461401TX
Medicare UPING03785TX

Accepted 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. John B Pettway 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 ID7719070820
PECOS Enrollment IDI20070906000174
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 76011 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology
121 E RANDOL MILL RD
ARLINGTON, TX 76011
Family Medicine
121 E RANDOL MILL RD
ARLINGTON, TX 76011
Obstetrics & Gynecology
121 E RANDOL MILL RD
ARLINGTON, TX 76011
Family Medicine
121 E RANDOL MILL RD
ARLINGTON, TX 76011
Family Medicine
121 E RANDOL MILL RD
ARLINGTON, TX 76011

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 John Pettway's NPI number?

The NPI number for John Pettway is 1811958796. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is John Pettway located?

John Pettway practices at 121 E Randol Mill Rd, Arlington, TX 76011. The listed phone number is (817) 860-1309.

What is John Pettway's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Pettway enrolled in Medicare?

Yes. John Pettway 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 John Pettway accept?

Health plans from Baylor Scott and White Health Plan list John Pettway 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.

When was this NPI record last updated?

The NPPES record for John Pettway was last updated on February 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.