COURTENAY ELIZABETH PETTIGREW (M.D.) – Emergency Medicine Physician, NPI 1215347232

COURTENAY ELIZABETH PETTIGREW (M.D.) is a healthcare provider. based in Fresno, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A139842 (CA). The NPI Number for COURTENAY ELIZABETH PETTIGREW (M.D.) is 1215347232

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
COURTENAY ELIZABETH PETTIGREW (M.D.)
NPI
1215347232
Phone
Not provided
Address
155 N FRESNO ST
Enumeration Date
29 April 2014
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5594596000
Graduation Year
2014 (12 years ago)
PAC ID
6709138340
Group Practice PAC ID
8325952773
Professional Enrollment ID
I20181010001392
Address ID
CA937211324FR2823XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

Provider Addresses for COURTENAY ELIZABETH PETTIGREW (M.D.)

  • 155 N FRESNO ST

    FRESNO, CA 937012302

    Phone:

    Type: Mailing

  • 7300 N FRESNO ST

    FRESNO, CA 937202941

    Phone: (559) 448-4500

    Type: Location

  • 2625 E DIVISADERO ST

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Mailing

  • 155 N Fresno St

    Fresno, CA 937012302

    Phone: (559) 499-6440

    Type: Location

  • 2823 FRESNO ST

    FRESNO, CA 937211324

    Phone: (559) 499-6440

    Fax: (559) 499-6441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181010001392IEmergency MedicineCATBD
I20231014000629IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making132127$0
99284Emergency department visit with moderate level of medical decision making4646$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 93701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325952773View full group profile
NameSpecialtyState
Emergency MedicineCA
Endocrinology, Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA
Emergency MedicineRI
Emergency MedicineCA
Emergency Medicine, Medical ToxicologyCA
Emergency MedicineCA
Hospitalist, Internal MedicineCA
Emergency Medicine, Hospice/Palliative CareCA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm COURTENAY ELIZABETH PETTIGREW (M.D.)'s NPI?
Yes. COURTENAY ELIZABETH PETTIGREW (M.D.) is listed with NPI 1215347232 in the public NPI dataset.
Does the file indicate COURTENAY ELIZABETH PETTIGREW (M.D.) is practicing under active NPI?
Directory data currently reports COURTENAY ELIZABETH PETTIGREW (M.D.) as active.
What is COURTENAY ELIZABETH PETTIGREW (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for COURTENAY ELIZABETH PETTIGREW (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does COURTENAY ELIZABETH PETTIGREW (M.D.) serve?
COURTENAY ELIZABETH PETTIGREW (M.D.)'s listing highlights Fresno, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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