DR. CORWIN D PETTY (MD) – Family Medicine Physician, NPI 1295735959

DR. CORWIN D PETTY (MD) is a healthcare provider. based in Rogers, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-2717 (AR). The NPI Number for DR. CORWIN D PETTY (MD) is 1295735959

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORWIN D PETTY (MD)
NPI
1295735959
Phone
(479) 254-1005
Address
3201 S MARKET ST STE 105
Enumeration Date
26 July 2005
Last Update Date
4 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4792541005
Graduation Year
1999 (27 years ago)
PAC ID
8628080967
Professional Enrollment ID
I20060703000055
Address ID
AR727588168RO3201XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DR. CORWIN D PETTY (MD)

  • Market Street, Rogers, Benton County, Arkansas, 72758, United States

    ROGERS, AR 727588168

    Phone: (479) 254-1005

    Fax: (479) 668-4003

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $1,262.

Total Amount is formed as General ($1,262) + Research ($0) + Ownership ($0) = $1,262.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($280).

Total Amount

$1,262

General + Research + Ownership

Payments

33

Total payment records

General Amount

$1,262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060703000055IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes20057$0
99213Established patient office or other outpatient visit, 20-29 minutes1916$0
99215Established patient office or other outpatient visit, 40-54 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 72758)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. CORWIN D PETTY (MD)'s NPI?
You can confirm DR. CORWIN D PETTY (MD) with NPI 1295735959; it appears in the national provider directory.
Is DR. CORWIN D PETTY (MD)'s NPI currently valid?
The extract we use shows DR. CORWIN D PETTY (MD) as active.
Does DR. CORWIN D PETTY (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. CORWIN D PETTY (MD). Clinical services aligned with this taxonomy classification.
Where is DR. CORWIN D PETTY (MD)'s primary listing?
We display Rogers, Arkansas because that is what the record indicates for DR. CORWIN D PETTY (MD).
What if Rogers, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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