Bruce Ben Pettigrove, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13121 Issued in OK

Practice address

2448 E 81St St Ste 3700
Tulsa, OK 74137-4257

Phone

(918) 492-4122

Fax

(918) 492-7451

NPI assigned

Jul 4, 2006

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Oklahoma College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tulsa Eye Consultants, Inc.Group PAC ID 4082801808, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tulsa Spine & Specialty Hospital Hospital, Tulsa, OK, CCN 370216

Merit-based Incentive Payment System (MIPS)

Final score

3 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

10

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tulsa Eye Consultants, Inc.

  • Surgical Technologist
  • Tulsa, OK
  • NPI 1164619110
  Medicare reassignment Care Compare group NPD
• Preferred Optical

  • Eyewear Supplier
  • Tulsa, OK
  • NPI 1528223302
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tulsa Spine & Specialty Hospital

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1033185293
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1154351310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 3700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374257",
            "telephone_number": "918-492-4122",
            "fax_number": "918-492-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 3700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374257",
            "telephone_number": "918-492-4122",
            "fax_number": "918-492-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGROVE",
        "first_name": "BRUCE",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "13121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089490A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020920 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Kent Peterson, LPC, LMFT
• Jacqueline Petray, M.D.
• Kelly Janell Petree
• Seana Lynn Petri, MA, LPC, CRC
• Carmen Pettie
• Nicholas J Pettinelli, DO
• Haley Pettingell
• Timothy Pettingell, M.D.
• William J Pettit, D.O.
• Donna Lynn Petty, RN

• Ophthalmology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.