JOHN PETTY (MD) – Physical Medicine & Rehabilitation Physician, NPI 1083665343

JOHN PETTY (MD) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 35038579 (OH). The NPI Number for JOHN PETTY (MD) is 1083665343

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PETTY (MD)
NPI
1083665343
Phone
Not provided
Address
PO BOX 750245
Enumeration Date
12 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9374359402
Graduation Year
1975 (51 years ago)
PAC ID
6103850029
Professional Enrollment ID
I20120208000948
Address ID
OH454291221KE3535XBLVD300
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

510 PHYSICAL MEDICINE AND REHABILITATION in OH

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Provider Addresses for JOHN PETTY (MD)

  • The Black Box Improv Theater, East 3rd Street, Dayton Motor Car Company Historic District, Dayton, Montgomery County, Ohio, 45402, United States

    DAYTON, OH 454750245

    Phone:

    Type: Mailing

  • Kettering Medical Center, 3535, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454291221

    Phone: (937) 395-8666

    Type: Location

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: 2012-02-08

PECOS data refreshed: 2026-06-15

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
I20120208000948IPhysical Medicine And RehabilitationOHTBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study17695$0
95911Nerve conduction, 9-10 studies5654$0
95909Nerve conduction, 5-6 studies2827$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 45475)

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Provider's Procedures

JOHN PETTY (MD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOOH95910Nerve transmission studies, 7-8 studies4646

Reviews

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Frequently asked questions

What is the standard ID for JOHN PETTY (MD) in the U.S.?
In the U.S., JOHN PETTY (MD) is identified by NPI 1083665343.
Quick check: is JOHN PETTY (MD) active?
Public NPPES data shows JOHN PETTY (MD) with an active NPI status right now.
Which specialty label fits JOHN PETTY (MD)?
NPPES ties JOHN PETTY (MD) to Physical Medicine & Rehabilitation Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JOHN PETTY (MD)?
The directory associates JOHN PETTY (MD) with Dayton, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for JOHN PETTY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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