DR. PATRICK THUL PETTENGILL (MD) – Emergency Medicine Physician, NPI 1639163488
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,158 EMERGENCY MEDICINE in MI
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Provider Addresses for DR. PATRICK THUL PETTENGILL (MD)
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 480736712
Phone: (248) 898-0575
Fax: (248) 898-4671
Type: Location
300 E Warwick Dr
Alma, MI 488011014
Phone: (989) 466-3228
Type: Location
4851 E Pickard St Ste 1000
MT Pleasant, MI 488582041
Phone: (989) 956-9069
Type: Location
1501 W Chisholm St
Alpena, MI 497071401
Phone: (989) 356-7257
Type: Location
2463 S M 30
West Branch, MI 486619312
Phone: (989) 345-3660
Type: Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone:
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.
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: 2004-02-09
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 |
|---|---|---|---|---|
| I20040209000885 | I | Emergency Medicine | MI | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 575 | 484 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 260 | 260 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 82 | 82 | $0 |
| 99291 | Critical care, first 30-74 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| - | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Emergency Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI |
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