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CHARISSA JOY PETTYJOHN M.D.
NPI 1861614711
Obstetrics & Gynecology - Hospice and Palliative Medicine in Boston, MA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
750 WASHINGTON ST., BOSTON, MA 02111(617) 636-0265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charissa Joy Pettyjohn M.d. NPPES

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

CHARISSA JOY PETTYJOHN M.D. (NPI 1861614711) is an individual hospice and palliative medicine provider in Boston, Massachusetts, licensed in Massachusetts (225481) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Medical College Of Wisconsin (2005).

NPPES Registry Identity

NPI1861614711
Entity TypeIndividualFemale
Primary Taxonomy207VH0002X
Provider Legal NameCHARISSA JOY PETTYJOHNCredential: M.D.
Location Address750 WASHINGTON ST.Boston, MA 02111
Mailing Address19 Peverell St, Apt 3Dorchester, MA 02125 · (857) 212-3169
Phone(617) 636-0265
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 2005
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861614711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VH0002X
License✔ Licensed in MA · 225481
Definition
An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
750 WASHINGTON ST., Boston, MA 02111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Charissa Joy Pettyjohn 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 ID2567508146
PECOS Enrollment IDI20091013000278
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Charissa Pettyjohn's NPI number?

The NPI number for Charissa Pettyjohn is 1861614711. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Charissa Pettyjohn located?

Charissa Pettyjohn practices at 750 Washington St., Boston, MA 02111. The listed phone number is (617) 636-0265.

What is Charissa Pettyjohn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Hospice and Palliative Medicine, with taxonomy code 207VH0002X.

Is Charissa Pettyjohn enrolled in Medicare?

Yes. Charissa Pettyjohn 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 Charissa Pettyjohn accept?

Health plans from Anthem Blue Cross and Blue Shield list Charissa Pettyjohn 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 Charissa Pettyjohn affiliated with any hospitals?

According to CMS data, Charissa Pettyjohn is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Charissa Pettyjohn was last updated on July 8, 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.