MARK A PETTY (M.D.) – Orthopaedic Surgery Physician, NPI 1508863960

MARK A PETTY (M.D.) is a healthcare provider. based in Gainesville, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. ME67863 (FL). The NPI Number for MARK A PETTY (M.D.) is 1508863960

Main info

Male
33 Years Of Experience
Name
MARK A PETTY (M.D.)
NPI
1508863960
Phone
(352) 336-6000
Address
4500 W NEWBERRY RD
Enumeration Date
30 June 2005
Last Update Date
19 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3523366000
Graduation Year
1993 (33 years ago)
PAC ID
4486677804
Group Practice PAC ID
2860385242
Professional Enrollment ID
I20060111000521
Address ID
FL326072245GA4500XRDXX300
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

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for MARK A PETTY (M.D.)

  • West Newberry Road, Beville Heights, Gainesville, Alachua County, Florida, 32607, United States

    GAINESVILLE, FL 326072245

    Phone: (352) 336-6000

    Fax: (352) 332-0799

    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 6 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Cgg Medical Inc ($132).

Total Amount

$218

General + Research + Ownership

Payments

6

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-01-11

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
I20060111000521IOrthopedic SurgeryFLTBD

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
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg3,22732$0
99213Established patient office or other outpatient visit, 20-29 minutes607415$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes45054$0
73564X-ray of knee, 4 or more views323233$0
20610Aspiration and/or injection of fluid from large joint313190$0
View full utilization report →

Insurance plans in this area (ZIP 32607)

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Provider's Procedures

MARK A PETTY (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule348209
ORTHOPEDIC SURGERYFL73630X-ray of foot, minimum of 3 views1714

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: 2860385242View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Nurse PractitionerFL
Hand Surgery, Orthopedic SurgeryFL
Physician AssistantFL
-FL
Diagnostic RadiologyFL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

Can I cross-check MARK A PETTY (M.D.) using NPI 1508863960?
NPI 1508863960 belongs to MARK A PETTY (M.D.); compare other details if you need extra assurance.
Would MARK A PETTY (M.D.) appear as active to a payer?
You can treat MARK A PETTY (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MARK A PETTY (M.D.)'s focus?
For MARK A PETTY (M.D.), the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK A PETTY (M.D.)?
Travel planning: use Gainesville, Florida as the reference point for MARK A PETTY (M.D.), then confirm.
When was this NPI issued?
Enumeration for MARK A PETTY (M.D.) is noted as June 30, 2005 where the registry provides it.

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