CATHERINE PETZINGER DESHAZO (D.O.) – Surgery Physician, NPI 1962822692
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
246 GENERAL SURGERY in MS
Provider Addresses for CATHERINE PETZINGER DESHAZO (D.O.)
901 E Sunflower Rd
Cleveland, MS 387322833
Phone: (312) 213-9732
Type: Location
28050 Grand River Ave
Farmington Hills, MI 483365919
Phone: (947) 521-8000
Type: Location
901 E SUNFLOWER RD
CLEVELAND, MS 387322833
Phone: (312) 213-9732
Type: Mailing
5480 GOODMAN RD
OLIVE BRANCH, MS 386547902
Phone: (662) 893-9815
Fax: (662) 893-9888
Type: Location
1211 UNION AVE STE 330
MEMPHIS, TN 381046655
Phone: (901) 478-0966
Fax: (901) 478-0951
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: 2019-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190911000573 | I | General Surgery | MS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 305 | 39 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 27 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 30 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 38732)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| General Surgery | TN | |
| General Surgery | TN | |
| - | TN | |
| General Surgery | MS |
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