WILLIAM HARRY PETTIBON (PHD) – Psychologist, NPI 1629267877
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
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Provider Addresses for WILLIAM HARRY PETTIBON (PHD)
South Tamiami Trail, Osprey, Sarasota County, Florida, 34229, United States
SARASOTA, FL 342396909
Phone: (941) 366-1693
Fax: (941) 922-7574
Type: Location
6521, Keystone Drive, Gulf Gate Estates, Sarasota County, Florida, 34231, United States
SARASOTA, FL 342317133
Phone: (941) 366-1693
Fax: (941) 922-7574
Type: Mailing
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.
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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: 2010-04-20
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 |
|---|---|---|---|---|
| I20100420000926 | I | Clinical Psychologist | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 608 | 127 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 508 | 127 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 130 | 130 | $0 |
| 96121 | Exam of neurobehavioral status, each additional hour | 129 | 129 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 127 | 127 | $0 |
Insurance plans in this area (ZIP 34239)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | FL | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 1280 | 158 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | FL | |
| Clinical Social Worker | FL | |
| Clinical Psychologist | FL |
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