Jeffrey Scott Petty, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1499 Issued in TX

Practice address

3229 W 7TH Ave
Corsicana, TX 75110-4817

Phone

(903) 872-9910

Fax

(903) 874-8829

NPI assigned

Jul 27, 2006

Last updated

Jul 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Podiatric Medical Partners of Texas PAGroup PAC ID 2860544749, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Navarro Regional Hospital Hospital, Corsicana, TX, CCN 450447

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Podiatric Medical Partners of Texas, PA

  • Podiatrist
  • Dallas, TX
  • NPI 1831323302
  Medicare reassignment Care Compare group
• Jeffrey Petty, DPM, PA

  dba Corsicana Foot Clinic

  • Durable Medical Equipment & Medical Supplies
  • Corsicana, TX
  • NPI 1982628533
  Authorized official Same address or phone

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

• Navarro Hospital LP

  dba Navarro Regional Hospital

  • General Acute Care Hospital
  • Corsicana, TX
  • NPI 1144274226
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1437163607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104817",
            "telephone_number": "903-872-9910",
            "fax_number": "903-874-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104817",
            "telephone_number": "903-872-9910",
            "fax_number": "903-874-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8W4430",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018605802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD INS.",
            "identifier": "480028382",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00339471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patient Place P.a. (Patient Place)
• Dennisse Romero Pena, PT
• Jackeline Perez
• Anthony J Perri, MD
• Taylor Perry
• Philip R. Taft Psy.D. PLLC
• Justin B Pillans, DDS
• PM Management - Corsicana NC II LLC (Heritage Oaks Retirement Village)
• PM Management - Corsicana NC III LLC (Heritage Oaks West Retirement Village)
• PM Management - Corsicana NC LLC (Trisun Care Center - Corsicana)

• Podiatrist in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.