MR. JOHN G PETTY (MD) – Ophthalmology Physician, NPI 1881665263

MR. JOHN G PETTY (MD) is a healthcare provider. based in Cortez, Colorado. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 35259 (CO). The NPI Number for MR. JOHN G PETTY (MD) is 1881665263

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN G PETTY (MD)
NPI
1881665263
Phone
(970) 565-8809
Address
2423 E MAIN
Enumeration Date
1 February 2006
Last Update Date
16 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
8083563820
Graduation Year
1992 (34 years ago)
PAC ID
5092706630
Group Practice PAC ID
6507025772
Professional Enrollment ID
I20251005000001
Address ID
HI968171651HO2228XSTXX302
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

396 OPHTHALMOLOGY in CO

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Provider Addresses for MR. JOHN G PETTY (MD)

  • Cortez, Manatee County, Florida, 34215, United States

    STE 4

    CORTEZ, CO 81321

    Phone: (970) 565-8809

    Fax: (970) 565-8881

    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)

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: 2025-10-05

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
I20231102001855IOphthalmologyMTTBD
I20251005000001IOphthalmologyHITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81321)

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Provider's Procedures

MR. JOHN G PETTY (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCO92083Measurement of field of vision during daylight conditions2321
OPHTHALMOLOGYCO92134Diagnostic imaging of retina5936

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: 6507025772View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YHI
O P T O M E T R YHI
O P T O M E T R YHI
O P H T H A L M O L O G YHI
O P T O M E T R YWA
O P H T H A L M O L O G YHI

Reviews

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Frequently asked questions

What number should I use to identify MR. JOHN G PETTY (MD) for billing?
Administrative and clinical systems typically use NPI 1881665263 for MR. JOHN G PETTY (MD).
Is MR. JOHN G PETTY (MD)'s NPI status active today?
Active status means MR. JOHN G PETTY (MD)'s NPI record is not deactivated in the public file.
What type of care does MR. JOHN G PETTY (MD) provide?
MR. JOHN G PETTY (MD)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JOHN G PETTY (MD) in Cortez, Colorado?
For routing, start with Cortez, Colorado for MR. JOHN G PETTY (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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