PHILIPPE WILLIAM PETRUS (PA-C) – Physician Assistant, NPI 1639398035

PHILIPPE WILLIAM PETRUS (PA-C) is a healthcare provider. based in El paso, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA03331 (TX). The NPI Number for PHILIPPE WILLIAM PETRUS (PA-C) is 1639398035

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
PHILIPPE WILLIAM PETRUS (PA-C)
NPI
1639398035
Phone
(915) 201-0199
Address
6600 Montana Ave Ste P
Enumeration Date
24 April 2007
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9152010199
Graduation Year
2001 (25 years ago)
PAC ID
1355324971
Group Practice PAC ID
7911325287
Professional Enrollment ID
I20040612000244
Address ID
TX799252149EL6600XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for PHILIPPE WILLIAM PETRUS (PA-C)

  • 6600 Montana Ave Ste P

    El Paso, TX 799252149

    Phone: (915) 201-0199

    Fax: (915) 233-3053

    Type: Location

  • 1605 GEORGE DIETER DR STE 636

    EL PASO, TX 799365692

    Phone: (915) 671-1371

    Fax: (915) 219-9022

    Type: Mailing

  • 1900 DENVER AVE

    EL PASO, TX 799023008

    Phone: (915) 544-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $2,370.

Total Amount is formed as General ($2,370) + Research ($0) + Ownership ($0) = $2,370.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alkermes, Inc. ($412).

Total Amount

$2,370

General + Research + Ownership

Payments

95

Total payment records

General Amount

$2,370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2004-06-12

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
I20040612000244IPhysician AssistantTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes34374$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7740$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6444$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5656$0
99239Hospital discharge day management, more than 30 minutes5450$0
View full utilization report →

Insurance plans in this area (ZIP 79925)

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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: 7911325287View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Mental Health CounselorTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up PHILIPPE WILLIAM PETRUS (PA-C) by NPI?
Use NPI 1639398035 when you need to reference PHILIPPE WILLIAM PETRUS (PA-C) in forms, claims, or directories.
Does this profile mean PHILIPPE WILLIAM PETRUS (PA-C) is currently active?
Yes — PHILIPPE WILLIAM PETRUS (PA-C) appears active in the national provider directory.
What field does PHILIPPE WILLIAM PETRUS (PA-C) work in?
You can think of PHILIPPE WILLIAM PETRUS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place PHILIPPE WILLIAM PETRUS (PA-C)?
The snapshot lists El Paso, Texas for PHILIPPE WILLIAM PETRUS (PA-C); download NPPES for the complete set.
What if El Paso, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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