Grant Douglas Petty, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22682 Issued in WV

Practice address

3448 US Route 60
Huntington, WV 25705-2906

Phone

(304) 522-1550

Fax

(304) 522-0704

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in OH, WV, KY3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

University of Louisville School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology IncGroup PAC ID 2365340429, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
• Rivers Health Hospital, Point Pleasant, WV, CCN 510012
• Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
• Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054

Merit-based Incentive Payment System (MIPS)

Final score

75.95 of 100Reported as group

Quality

67.56

Improvement activities

40

Cost

71.56

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 and National Provider Directory roles.

• Radiology Inc

  • Diagnostic Radiology Physician
  • Huntington, WV
  • NPI 1457339277

  KY, OH

  Medicare reassignment Care Compare group
• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117

  Diagnostic Radiology

  Medicare reassignment NPD
• Premier Imaging and Intervention, PLLC

  • Diagnostic Radiology Physician
  • Ripley, WV
  • NPI 1285633370
  Medicare reassignment NPD
• Tsohns Inc

  • Otolaryngology Physician
  • Huntington, WV
  • NPI 1063503738
  NPD
• Three Gables Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Proctorville, OH
  • NPI 1124083878
  NPD

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

• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• Logan General Hospital LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Logan, WV
  • NPI 1295789675
  Care Compare affiliation
• Logan General Hospital LLC

  • General Acute Care Hospital
  • Logan, WV
  • NPI 1750332565
  Care Compare affiliation
• Pleasant Valley Hospital, Inc.

  • General Acute Care Hospital
  • PT Pleasant, WV
  • NPI 1598975120
  Care Compare affiliation
• St. Mary'S Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation
• Holzer Hospital Foundation

  • Rural Acute Care Hospital
  • Gallipolis, OH
  • NPI 1942256888
  Care Compare affiliation

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1154438315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257120910",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052906",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "GRANT",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35089226",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "052617",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "22682",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "40841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7389831",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2732556",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100014760",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00413759",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221879",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008705",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50017454",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN ST BCBS",
            "identifier": "001962777",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKER'S COMPENSATION",
            "identifier": "550493376 00",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M Petrany, MD
• Alexandra Iulia Petrusan, DO
• Shari Pettit
• Erin Bass Petty, M.S., CCC-SLP
• Gary J. Petty, M.D.
• Casaundra Peyton
• Kayla Peyton
• Nicolas Phan, M.D.
• Pharmacy Associates
• Pharmacy Associates Inc

• Diagnostic Radiology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Diagnostic Radiology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.