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CATHERINE PETZINGER DESHAZO D.O.
NPI 1962822692
Surgery in Olive Branch, MS

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
5480 GOODMAN RD, OLIVE BRANCH, MS 38654(662) 893-9815(662) 893-9888 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Catherine Petzinger Deshazo D.o. NPPES

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

CATHERINE PETZINGER DESHAZO D.O. (NPI 1962822692) is an individual surgery provider in Olive Branch, Mississippi, licensed in Mississippi (26737) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962822692
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCATHERINE PETZINGER DESHAZOCredential: D.O.
Location Address5480 GOODMAN RDOlive Branch, MS 38654-7902
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655 · (901) 478-0966 · Fax (901) 478-0951
Phone(662) 893-9815
Fax(662) 893-9888
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1962822692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MS · 26737✔ Licensed in MI · 5101020893
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5480 GOODMAN RD, Olive Branch, MS 38654
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Secondary Practice Locations 2

Location 1901 E Sunflower RdCleveland, MS 38732-2833 · Phone (312) 213-9732
Location 228050 Grand River AveFarmington Hills, MI 48336-5919 · Phone (947) 521-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Catherine Petzinger Deshazo D.o. 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 ID1951696566
PECOS Enrollment IDI20190911000573
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 9

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
51 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services15 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38654 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims1,120 services$0.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers17 claims582 services$6.80 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
2 suppliers18 claims640 services$3.15 avg. paid by Medicare
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims1,599 services$1.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. VANI KUDLUR CHANDRAPPA M.D.
Pediatrics
5480 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 893-9877
LAXMISILPA GADIPARTHI HANSEN M.D.
Obstetrics & Gynecology
5480 GOODMAN RD, SUITE 2
OLIVE BRANCH, MS 38654
Desoto County (662) 893-9885
DIANA DRUMWRIGHT DEDMON FNP
Nurse Practitioner (Family)
5480 GOODMAN RD
OLIVE BRANCH, MS 38654
Desoto County (662) 893-9800
LEBONHEUR URGENT CARE, LLC
Clinic/Center (Urgent Care)
5480 GOODMAN RD, SUITE 2
OLIVE BRANCH, MS 38654
Desoto County (662) 893-9877

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 Catherine Deshazo's NPI number?

The NPI number for Catherine Deshazo is 1962822692. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Catherine Deshazo located?

Catherine Deshazo practices at 5480 Goodman Rd, Olive Branch, MS 38654. The listed phone number is (662) 893-9815.

What is Catherine Deshazo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Catherine Deshazo enrolled in Medicare?

Yes. Catherine Deshazo 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 Catherine Deshazo accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Catherine Deshazo 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 Catherine Deshazo affiliated with any hospitals?

According to CMS data, Catherine Deshazo is affiliated with Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Deshazo was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.