MATTHEW SEAN PETITT (DO) – Dermatopathology Physician, NPI 1912101593

MATTHEW SEAN PETITT (DO) is a healthcare provider. based in Pasadena, Texas. specializing in PATHOLOGY, DERMATOLOGY. They hold the professional credentials DO. They hold a License No. M2750 (TX). The NPI Number for MATTHEW SEAN PETITT (DO) is 1912101593

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW SEAN PETITT (DO)
NPI
1912101593
Phone
(281) 991-5944
Address
4419 CRENSHAW RD
Enumeration Date
14 June 2007
Last Update Date
13 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2819915944
Graduation Year
2002 (24 years ago)
PAC ID
9931243508
Group Practice PAC ID
5193715571
Professional Enrollment ID
I20100219000633
Address ID
TX775043628PA4419XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,394 PATHOLOGY in TX

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Provider Addresses for MATTHEW SEAN PETITT (DO)

  • Crenshaw Road, Baywood Oaks West, Pasadena, Harris County, Texas, 77505, United States

    PASADENA, TX 775043628

    Phone: (281) 991-5944

    Type: Mailing

  • 4419, Crenshaw Road, Pasadena, Harris County, Texas, 77504, United States

    PASADENA, TX 775043628

    Phone: (281) 991-5944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 389 Open Payments records for all available years, with a total value of $8,629.

Total Amount is formed as General ($8,629) + Research ($0) + Ownership ($0) = $8,629.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,283).

Total Amount

$8,629

General + Research + Ownership

Payments

389

Total payment records

General Amount

$8,629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2010-02-19

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
I20100219000633IDermatologyTXTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity4,4472,223$0
17003Destruction of precancer skin growth, 2-14 growths1,402241$0
88341Special stained specimen slides to examine tissue, each additional procedure652191$0
99213Established patient office or other outpatient visit, 20-29 minutes463328$0
17000Destruction of precancer skin growth, 1 growth437302$0
View full utilization report →

Insurance plans in this area (ZIP 77504)

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Provider's Procedures

MATTHEW SEAN PETITT (DO) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue318200
DERMATOLOGYTX13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet5548
DERMATOLOGYTX17003Destruction of 2-14 skin growths1557222
DERMATOLOGYTX88342Tissue or cell analysis by immunologic technique10898

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: 5193715571View full group profile
NameSpecialtyState
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What is the standard ID for MATTHEW SEAN PETITT (DO) in the U.S.?
In the U.S., MATTHEW SEAN PETITT (DO) is identified by NPI 1912101593.
Does the public listing show MATTHEW SEAN PETITT (DO) as active?
MATTHEW SEAN PETITT (DO)'s NPI record reflects an active status in NPPES.
How should patients interpret MATTHEW SEAN PETITT (DO)'s specialty?
The extract shows Dermatopathology Physician for MATTHEW SEAN PETITT (DO). Clinical services aligned with this taxonomy classification.
Which community is linked to MATTHEW SEAN PETITT (DO)?
MATTHEW SEAN PETITT (DO) shows a connection to Pasadena, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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