DR. JOHN MARK PETTIT (MD) – Urology Physician, NPI 1407937253
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
620 UROLOGY in PA
Provider Addresses for DR. JOHN MARK PETTIT (MD)
25 Monument Rd Ste 190
York, PA 174035059
Phone: (717) 741-8011
Fax: (717) 255-0966
Type: Location
269 S Candy Ln
Cottonwood, AZ 863264158
Phone: (928) 649-7970
Type: Location
340, Birchwood Avenue, Cornwall Park, Bellingham, Whatcom County, Washington, 98226, United States
BELLINGHAM, WA 982251782
Phone: (360) 671-9197
Fax: (360) 676-7730
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 103 Open Payments records for all available years, with a total value of $2,466.
Total Amount is formed as General ($2,466) + Research ($0) + Ownership ($0) = $2,466.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Dendreon Pharmaceuticals LLC ($238).
Total Amount
$2,466
General + Research + Ownership
Payments
103
Total payment records
General Amount
$2,466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dendreon Pharmaceuticals LLC | $238 |
| Sumitomo Pharma America, Inc. | $208 |
| Janssen Biotech, Inc. | $172 |
| ACCORD HEALTHCARE, INC. | $139 |
| PFIZER INC. | $121 |
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: 2025-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070206000383 | I | Urology | WA | TBD |
| I20251210004408 | I | Urology | AZ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 603 | 424 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 265 | 196 | $0 |
| 81002 | Urinalysis, manual test | 264 | 219 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 199 | 159 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 169 | 146 | $0 |
Insurance plans in this area (ZIP 17403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | WA | 76872 | Ultrasound of rectum | 14 | 14 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | AZ | |
| Physician Assistant | CA | |
| H O S P I T A L I S T | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| A N E S T H E S I O L O G Y | NV | |
| Family Practice | AZ | |
| Physician Assistant | CA |
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