MR. ANDREW G PETLOCK PA
NPI 1972381077
Physician Assistant in Hudson, MA

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment
1 CABOT RD STE 101, HUDSON, MA 01749(978) 562-3536(978) 562-4626 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Andrew G Petlock Pa NPPES

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

MR. ANDREW G PETLOCK PA (NPI 1972381077) is an individual physician assistant in Hudson, Massachusetts and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972381077
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANDREW G PETLOCKCredential: PA
Location Address1 CABOT RD STE 101Hudson, MA 01749-2963
Mailing Address171 Main St Ste 203bAshland, MA 01721-1187 · (508) 881-3029 · Fax (508) 881-1752
Fax(978) 562-4626
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 19, 2023
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1972381077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1 CABOT RD STE 101, Hudson, MA 01749

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

Mr. Andrew G Petlock Pa 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 ID3870025208
PECOS Enrollment IDI20241010001126
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.

Hospital Affiliations CMS Care Compare

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

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01749 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1 CABOT RD STE 101
HUDSON, MA 01749
Nurse Practitioner (Primary Care)
1 CABOT RD STE 101
HUDSON, MA 01749
Nurse Practitioner
1 CABOT RD STE 101
HUDSON, MA 01749
Nurse Practitioner (Adult Health)
1 CABOT RD STE 101
HUDSON, MA 01749
Physician Assistant
1 CABOT RD STE 101
HUDSON, MA 01749
Internal Medicine
1 CABOT RD STE 101
HUDSON, MA 01749

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 Andrew Petlock's NPI number?

The NPI number for Andrew Petlock is 1972381077. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Andrew Petlock located?

Andrew Petlock practices at 1 Cabot Rd Ste 101, Hudson, MA 01749. The listed phone number is (978) 562-3536.

What is Andrew Petlock's specialty?

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

Is Andrew Petlock enrolled in Medicare?

Yes. Andrew Petlock 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.

Is Andrew Petlock affiliated with any hospitals?

According to CMS data, Andrew Petlock is affiliated with Umass Memorial Healthcare-Marlborough Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Petlock was last updated on October 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.