WILLIAM ROBERT PETTEY (MD) – Surgery Physician, NPI 1487642450
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
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Provider Addresses for WILLIAM ROBERT PETTEY (MD)
Harris Methodist Southwest Hospital, 6100, Harris Parkway, Fort Worth, Tarrant County, Texas, 76132, United States
#390
FORT WORTH, TX 761324124
Phone: (817) 370-9011
Fax: (817) 346-0380
Mailing address matches the actual address.
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: 2011-01-07
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 |
|---|---|---|---|---|
| I20110107000582 | I | General Surgery | TX | 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 |
|---|---|---|---|---|
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 915 | 137 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 664 | 179 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 274 | 93 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 244 | 122 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 71 | 18 | $0 |
Insurance plans in this area (ZIP 76132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice, Peripheral Vascular Disease | TX | |
| General Surgery | NY | |
| General Surgery | FL | |
| General Surgery | TX | |
| N E U R O S U R G E R Y | TX | |
| General Practice | PA | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX |
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