CORWIN D. PETTY, MD, PA
NPI 1881859593
Family Medicine in Rogers, AR
About Corwin D. Petty, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORWIN D. PETTY, MD, PA (NPI 1881859593) is a healthcare organization registered as a family medicine in Rogers, Arkansas and active in the NPI registry since July 2008. The organization lists Corwin D Petty, Owner / Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corwin D. Petty, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Corwin D. Petty, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Corwin D. Petty, MD, PA's NPI number?
The NPI number for Corwin D. Petty, MD, PA is 1881859593. It was assigned to this organization in the NPPES registry on July 22, 2008.
Where is Corwin D. Petty, MD, PA located?
Corwin D. Petty, MD, PA is located at 3201 S Market St Ste 105, Rogers, AR 72758. The listed phone number is (479) 254-1005.
What is Corwin D. Petty, MD, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Corwin D. Petty, MD, PA enrolled in Medicare?
Yes. Corwin D. Petty, MD, PA is registered in the Medicare PECOS enrollment system.
When is Corwin D. Petty, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Corwin D. Petty, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Corwin D. Petty, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Corwin D. Petty, MD, PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Corwin D. Petty, MD, PA 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 Corwin D. Petty, MD, PA was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Corwin D. Petty, Md, Pa · NPI 1881859593
Family Medicine organization in Rogers, Arkansas. Organization record, active in the CMS NPPES registry since July 22, 2008.
## Identity
- **NPI:** 1881859593 (Entity type: Organization)
- **Enumerated:** July 22, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Petty Medical Clinic)
- **Authorized official:** Corwin Petty, OWNER / PHYSICIAN
## Practice location
- **Address:** 3201 S MARKET ST STE 105, Rogers, AR 72758-8168
- **Phone:** (479) 254-1005 · **Fax:** (479) 668-4003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2018
- **Other identifiers:** Other 5C680 (AR); Medicaid 149427002 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1881859593) · Data from the CMS NPPES public registry.