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ELIZABETH DAGGETT PETTIT
NPI 1962969097
Physician Assistant in Syracuse, NY

Active since February 25, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Feb 25, 2019 (2 updates tracked since 2019).

About Elizabeth Daggett Pettit NPPES

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

ELIZABETH DAGGETT PETTIT (NPI 1962969097) is an individual physician assistant in Syracuse, New York, licensed in New York (023190) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Syracuse, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962969097
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH DAGGETT PETTIT
Location Address301 PROSPECT AVESyracuse, NY 13203-1899
Mailing Address4888 Edgeworth DrManlius, NY 13104-2107
Phone(315) 448-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 25, 2019
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1962969097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 023190
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 PROSPECT AVE, Syracuse, NY 13203
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Secondary Practice Location 1

Location 15898 Bridge StEast Syracuse, NY 13057-2941 · Phone (315) 663-0112

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

Elizabeth Daggett Pettit 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 ID4486994845
PECOS Enrollment IDI20190321000491
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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
549 services81 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.
349 services185 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
160 services100 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
48 services40 patients
Punch biopsy, first skin growth 11104
A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
45 services42 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

JOSHUA AUSTIN JOHNSON
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
TYLER GRANT RN
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
MELISSA SCHREIBER RD
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 726-7755
DR. JOAN E THORNTON MD
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 299-5451
DR. MIHAEL J PUC MD
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 448-5440
DAVID J. SEELEY M.D.
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5101
PAMELA MARIE HOWARD LPN
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
SAMI SAMAIN MD
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5536

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 Elizabeth Pettit's NPI number?

The NPI number for Elizabeth Pettit is 1962969097. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Elizabeth Pettit located?

Elizabeth Pettit practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Elizabeth Pettit's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elizabeth Pettit enrolled in Medicare?

Yes. Elizabeth Pettit 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Pettit was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.