DR. JEFF HALE PETTEY (MD) – Ophthalmology Physician, NPI 1346494911

DR. JEFF HALE PETTEY (MD) is a healthcare provider. based in Slc, Utah. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 7152089-1205 (UT). The NPI Number for DR. JEFF HALE PETTEY (MD) is 1346494911

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFF HALE PETTEY (MD)
NPI
1346494911
Phone
(801) 651-4758
Address
65 MARIO CAPECCHI DR
Enumeration Date
10 November 2008
Last Update Date
11 November 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8015812352
Graduation Year
2007 (19 years ago)
PAC ID
2365610128
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20110721000354
Address ID
UT841320005SA65XXXDRXX500

Contacts

Secure Messaging
jpettey28681@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

214 OPHTHALMOLOGY in UT

Provider Addresses for DR. JEFF HALE PETTEY (MD)

  • 65 MARIO CAPECCHI DR

    SLC, UT 841325000

    Phone: (801) 651-4758

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $5,928.

Total Amount is formed as General ($5,928) + Research ($0) + Ownership ($0) = $5,928.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Carl Zeiss Meditec, Inc. ($3,174).

Total Amount

$5,928

General + Research + Ownership

Payments

10

Total payment records

General Amount

$5,928

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

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: 2011-07-21

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
I20110721000354IOphthalmologyUTTBD

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
92014Established patient complete exam of visual system205196$0
92136Measurement of corneal curvature and depth of eye13585$0
99214Established patient office or other outpatient visit, 30-39 minutes124118$0
92134Imaging of retina118111$0
66984Removal of cataract with insertion of prosthetic lens10368$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What number should I use to identify DR. JEFF HALE PETTEY (MD) for billing?
Administrative and clinical systems typically use NPI 1346494911 for DR. JEFF HALE PETTEY (MD).
Does the public listing show DR. JEFF HALE PETTEY (MD) as active?
DR. JEFF HALE PETTEY (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JEFF HALE PETTEY (MD) does?
Insurance directories may phrase it differently, but here DR. JEFF HALE PETTEY (MD) maps to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JEFF HALE PETTEY (MD)?
The directory associates DR. JEFF HALE PETTEY (MD) with Slc, Utah. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JEFF HALE PETTEY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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