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DR. CHARLES WILLIAM PETTUS MD
NPI 1912902107
Internal Medicine - Cardiovascular Disease in Fayetteville, GA

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1267 HIGHWAY 54 W, STE 2200, FAYETTEVILLE, GA 30214(770) 716-0051(770) 716-0087 Get Directions Write a Review

NPPES record last updated: September 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles William Pettus Md NPPES

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

DR. CHARLES WILLIAM PETTUS MD (NPI 1912902107) is an individual cardiovascular disease provider in Fayetteville, Georgia, licensed in Georgia (033675) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Mercer University School Of Medicine (1989).

NPPES Registry Identity

NPI1912902107
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CHARLES WILLIAM PETTUSCredential: MD
Location Address1267 HIGHWAY 54 W, STE 2200Fayetteville, GA 30214-2114
Mailing Address20 Francis Way, Suite 101Sharpsburg, GA 30277 · (770) 253-0611 · Fax (770) 502-0521
Phone(770) 716-0051
Fax(770) 716-0087
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1989
Enumeration DateJune 15, 2005
Last NPPES UpdateSeptember 13, 2010
✔ NPI 1912902107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 033675
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1267 HIGHWAY 54 W, Fayetteville, GA 30214
Open in Google Maps ↗

Other Identifiers 3

Medicaid000650413NOQGA
Medicare UPING02617GA
Medicare PIN20206I3065GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., UnitedHealthcare.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. Charles William Pettus Md 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 ID2668557083
PECOS Enrollment IDI20080616000404
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
81 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
15 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
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.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
20%1,141 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
62%524 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 54 patients
100%55 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%1,143 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
68%1,169 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
0%1,091 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
52%374 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CONNIE DUPRE MD
Internal Medicine
1267 HIGHWAY 54 W, SUITE 5200
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5601
HANNAH KATHARINE SHELL NP-C
Nurse Practitioner (Family)
1267 HIGHWAY 54 W, STE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
MICHAELA MANIAS
Physician Assistant
1267 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (678) 829-1060
PEACHTREE FAYETTE WOMEN'S SPECIALISTS
Obstetrics & Gynecology
1267 HIGHWAY 54 W, SUITE 3200
FAYETTEVILLE, GA 30214
Fayette County (770) 632-9900
DR. SANJAY SARIN M.D.
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
DR. SAMUEL B BLEUEZ MD
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
TANGELLA E RUSSELL CNP
Nurse Practitioner (Family)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
GEORGIA UROLOGY PA
Urology
1267 HIGHWAY 54 W, SUITE 5200
FAYETTEVILLE, GA 30214
Fayette County (777) 046-0977

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 Charles Pettus's NPI number?

The NPI number for Charles Pettus is 1912902107. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Charles Pettus located?

Charles Pettus practices at 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214. The listed phone number is (770) 716-0051.

What is Charles Pettus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Charles Pettus enrolled in Medicare?

Yes. Charles Pettus 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 Charles Pettus accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list Charles Pettus 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 Charles Pettus affiliated with any hospitals?

According to CMS data, Charles Pettus is affiliated with Piedmont Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Charles Pettus was last updated on September 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.