GARY PETNER (PA-C) – Physician Assistant, NPI 1679545750
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for GARY PETNER (PA-C)
7040 TORRESDALE AVE
PHILADELPHIA, PA 191351915
Phone: (215) 605-5465
Type: Mailing
2757 N 5TH ST
PHILADELPHIA, PA 191332700
Phone: (215) 839-9661
Fax: (215) 309-3533
Type: Location
325, Princeton Avenue, Princeton-by-the-Sea, San Mateo County, California, 94019, United States
PRINCETON, NJ 085401617
Phone: (609) 924-8131
Fax: (609) 924-8532
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Bioventus LLC ($34).
Total Amount
$63
General + Research + Ownership
Payments
3
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $34 |
| Indivior Inc. | $29 |
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: 2018-10-05
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 |
|---|---|---|---|---|
| I20150316002211 | I | Physician Assistant | PA | TBD |
| I20181005000077 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,440 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 467 | 304 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 326 | 152 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 292 | 206 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 171 | 47 | $0 |
Insurance plans in this area (ZIP 19135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | VA | |
| - | IN | |
| A N E S T H E S I O L O G Y | IN | |
| - | TN | |
| - | NM | |
| - | WI | |
| Physician Assistant | PA | |
| - | OH | |
| Physician Assistant | NV |
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