PETER PETRENKO (MD) – Family Medicine Physician, NPI 1770574147

PETER PETRENKO (MD) is a healthcare provider. based in Monticello, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 34553 (KY). The NPI Number for PETER PETRENKO (MD) is 1770574147

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
PETER PETRENKO (MD)
NPI
1770574147
Phone
(606) 348-3365
Address
1 S CREEK DR
Enumeration Date
3 November 2005
Last Update Date
21 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
60634833658
Graduation Year
1979 (47 years ago)
PAC ID
0446442446
Group Practice PAC ID
2062409154
Professional Enrollment ID
I20101008000783
Address ID
KY426339472MO1XXXXDRXX401
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

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for PETER PETRENKO (MD)

  • Crescent Drive, Monticello, Jones County, Iowa, 52310, United States

    MONTICELLO, KY 426339472

    Phone: (606) 348-3365

    Fax: (606) 348-8496

    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 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-08-04 • Largest payer in this snapshot: Novo Nordisk Inc ($15).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-04

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: 2010-10-08

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
I20101008000783IInternal MedicineKYTBD

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4823$0
80053Blood test, comprehensive group of blood chemicals4322$0
80061Blood test, lipids (cholesterol and triglycerides)3522$0
83036Hemoglobin a1c level2818$0
36415Insertion of needle into vein for collection of blood sample2715$0
View full utilization report →

Insurance plans in this area (ZIP 42633)

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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: 2062409154View full group profile

Reviews

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Frequently asked questions

How is PETER PETRENKO (MD) identified in CMS data?
CMS-hosted NPPES data lists PETER PETRENKO (MD) with NPI 1770574147.
Can I rely on PETER PETRENKO (MD) being an active provider?
As of the registry snapshot, PETER PETRENKO (MD) is marked active.
What is PETER PETRENKO (MD) best known for clinically?
Directory data describes PETER PETRENKO (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does PETER PETRENKO (MD) list a practice location?
Patients near Monticello, Kentucky may find PETER PETRENKO (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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