DR. BRETT JUSTIN PETTETT (M.D.) – Orthopaedic Trauma Physician, NPI 1891139572

DR. BRETT JUSTIN PETTETT (M.D.) is a healthcare provider. based in Springfield, Missouri. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD464204 (PA). The NPI Number for DR. BRETT JUSTIN PETTETT (M.D.) is 1891139572

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRETT JUSTIN PETTETT (M.D.)
NPI
1891139572
Phone
(417) 820-5610
Address
3045 S NATIONAL AVE STE 110
Enumeration Date
24 April 2013
Last Update Date
20 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
4173366713
Graduation Year
2013 (13 years ago)
PAC ID
2163647611
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20190828004142
Address ID
MO656163725BR448XX248X405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

802 ORTHOPEDIC SURGERY in MO

Provider Addresses for DR. BRETT JUSTIN PETTETT (M.D.)

  • 3045 S NATIONAL AVE STE 110

    SPRINGFIELD, MO 658044268

    Phone: (417) 820-5610

    Type: Mailing

  • 130 Mason Farm Rd

    Department of Orthopaedics

    Chapel Hill, NC 275996134

    Phone: (919) 966-9071

    Fax: (919) 966-6730

    Type: Location

  • 1307 Federal St Ste 2

    Pittsburgh, PA 15212

    Phone: (412) 359-4212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $450.

Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($244).

Total Amount

$450

General + Research + Ownership

Payments

5

Total payment records

General Amount

$450

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2019-08-28

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
I20190828004142IOrthopedic SurgeryMOTBD

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
73502X-ray of hip, 2-3 views13550$0
73610X-ray of ankle, minimum of 3 views11022$0
99213Established patient office or other outpatient visit, 20-29 minutes6640$0
73030X-ray of shoulder, minimum of 2 views5921$0
73552X-ray of thigh bone, minimum 2 views5417$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

How is DR. BRETT JUSTIN PETTETT (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BRETT JUSTIN PETTETT (M.D.) with NPI 1891139572.
Can I rely on DR. BRETT JUSTIN PETTETT (M.D.) being an active provider?
As of the registry snapshot, DR. BRETT JUSTIN PETTETT (M.D.) is marked active.
What is DR. BRETT JUSTIN PETTETT (M.D.) best known for clinically?
Directory data describes DR. BRETT JUSTIN PETTETT (M.D.) with Orthopaedic Trauma Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRETT JUSTIN PETTETT (M.D.) based?
DR. BRETT JUSTIN PETTETT (M.D.) is tied to Springfield, Missouri in the data we show; additional addresses may exist on the full record.
Why does DR. BRETT JUSTIN PETTETT (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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