PATRICIA MARY PETTIT (M.D.) – Obstetrics & Gynecology Physician, NPI 1922002658

PATRICIA MARY PETTIT (M.D.) is a healthcare provider. based in Edina, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 39185 (MN). The NPI Number for PATRICIA MARY PETTIT (M.D.) is 1922002658

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA MARY PETTIT (M.D.)
NPI
1922002658
Phone
(952) 806-0011
Address
6565 FRANCE AVE S
Enumeration Date
10 June 2005
Last Update Date
23 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6128636960
Graduation Year
1993 (33 years ago)
PAC ID
8628975703
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20031217000139
Address ID
MN554071286MI920XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

822 OBSTETRICS/GYNECOLOGY in MN

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Provider Addresses for PATRICIA MARY PETTIT (M.D.)

  • 6565, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 200

    EDINA, MN 554352137

    Phone: (952) 806-0011

    Fax: (952) 806-9741

    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 16 Open Payments records for all available years, with a total value of $410.

Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Gynesonics, Inc. ($166).

Total Amount

$410

General + Research + Ownership

Payments

16

Total payment records

General Amount

$410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

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: 2003-12-17

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
I20031217000139IObstetrics/GynecologyMNTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1414$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to PATRICIA MARY PETTIT (M.D.)?
The federal identifier for PATRICIA MARY PETTIT (M.D.) is NPI 1922002658.
Is PATRICIA MARY PETTIT (M.D.) currently active in the NPI registry?
CMS-published data lists PATRICIA MARY PETTIT (M.D.) as an active registrant.
What kind of provider is PATRICIA MARY PETTIT (M.D.)?
The page reflects Obstetrics & Gynecology Physician for PATRICIA MARY PETTIT (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for PATRICIA MARY PETTIT (M.D.)?
We surface Edina, Minnesota for PATRICIA MARY PETTIT (M.D.) based on available NPPES addresses.
How can I contact PATRICIA MARY PETTIT (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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