WILLIAM KIMBALL PETITT (PA-C) – Physician Assistant, NPI 1669463055
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for WILLIAM KIMBALL PETITT (PA-C)
9949 S Oswego St Ste 300
Parker, CO 801343888
Phone: (303) 925-4750
Fax: (303) 925-4751
Type: Location
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802911244
Phone: (888) 269-7001
Fax: (303) 764-6640
Type: Mailing
799 E HAMPDEN AVE STE 400
ENGLEWOOD, CO 801132766
Phone: (303) 789-2663
Fax: (303) 788-4871
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: KCI USA, Inc. ($100).
Total Amount
$226
General + Research + Ownership
Payments
5
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KCI USA, Inc. | $100 |
| Solventum Corporation | $72 |
| PFIZER INC. | $20 |
| Bioventus LLC | $17 |
| Heron Therapeutics, Inc. | $17 |
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: 2005-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050816000815 | I | Physician Assistant | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 29 | 29 | $0 |
Insurance plans in this area (ZIP 80134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | CO | |
| Physician Assistant | CO | |
| Family Practice | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Internal Medicine | CO | |
| N E U R O L O G Y | CO |
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