CHRISTINE PETZING (MD) – Family Medicine Physician, NPI 1346348265
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHRISTINE PETZING (MD)
5771 Roosevelt Blvd
Clearwater, FL 337603407
Phone: (941) 275-0581
Type: Location
3375, North Seminary Street, Galesburg, Knox County, Illinois, 61401, United States
GALESBURG, IL 614011251
Phone: (309) 343-5114
Fax: (309) 343-7859
Type: Mailing
6310 CAPITAL DR
LAKEWOOD RANCH, FL 342025013
Phone: (727) 467-7423
Type: Mailing
2675 TAMPA RD
PALM HARBOR, FL 346843109
Phone: (727) 467-7423
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: 2022-11-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110223000861 | I | Internal Medicine | NC | TBD |
| I20221128003020 | I | Hospice/Palliative Care | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33760)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NC | |
| Family Practice | NC | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | NC | |
| Emergency Medicine, Family Practice | NC | |
| - | NC | |
| Physician Assistant | NC | |
| Emergency Medicine | KY | |
| Nurse Practitioner | NC | |
| Family Practice | VA |
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