CARLTON HEATH PETTY (M.D.) – Diagnostic Radiology Physician, NPI 1477799773

CARLTON HEATH PETTY (M.D.) is a healthcare provider. based in Richmond, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101255250 (VA). The NPI Number for CARLTON HEATH PETTY (M.D.) is 1477799773

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CARLTON HEATH PETTY (M.D.)
NPI
1477799773
Phone
(804) 358-6100
Address
PO BOX 91734
Enumeration Date
17 December 2008
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9126911460
Graduation Year
2012 (14 years ago)
PAC ID
4385886993
Group Practice PAC ID
7810022480
Professional Enrollment ID
I20180622002312
Address ID
GA314062668SA527XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

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Provider Addresses for CARLTON HEATH PETTY (M.D.)

  • Richmond Drive, Middletown, New Castle County, Delaware, United States

    RICHMOND, VA 232911734

    Phone: (804) 358-6100

    Fax: (804) 342-7619

    Type: Mailing

  • VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States

    RAD: DIAGNOSTIC RADIOLOGY

    RICHMOND, VA 232985051

    Phone: (804) 828-6831

    Fax: (804) 628-1132

    Type: Location

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: 2019-10-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180622002312IDiagnostic RadiologyGATBD
I20191010000052IDiagnostic RadiologySCTBD

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
71045X-ray of chest, 1 view839717$0
77067Screening mammography514514$0
77063Screening 3d breast mammography481481$0
71046X-ray of chest, 2 views363353$0
70450Ct scan head or brain without contrast253246$0
View full utilization report →

Insurance plans in this area (ZIP 23291)

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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: 7810022480View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
-GA
-GA
Diagnostic RadiologyMD
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyGA
Diagnostic RadiologyIL
Diagnostic RadiologyGA
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

Does CARLTON HEATH PETTY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CARLTON HEATH PETTY (M.D.) uses 1477799773.
Is CARLTON HEATH PETTY (M.D.) still practicing?
CARLTON HEATH PETTY (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes CARLTON HEATH PETTY (M.D.)?
For research purposes, treat CARLTON HEATH PETTY (M.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CARLTON HEATH PETTY (M.D.) on a map?
Expect Richmond, Virginia as a primary anchor for CARLTON HEATH PETTY (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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