JUSTEN PETTIGREW (M.D.) – Emergency Medicine Physician, NPI 1104206507

JUSTEN PETTIGREW (M.D.) is a healthcare provider. based in Wenatchee, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD60836734 (WA). The NPI Number for JUSTEN PETTIGREW (M.D.) is 1104206507

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JUSTEN PETTIGREW (M.D.)
NPI
1104206507
Phone
(509) 662-1511
Address
1201 S MILLER ST
Enumeration Date
2 June 2015
Last Update Date
9 July 2018

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
3603773911
Graduation Year
2015 (11 years ago)
PAC ID
6204148117
Group Practice PAC ID
9234133703
Professional Enrollment ID
I20180427000249
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for JUSTEN PETTIGREW (M.D.)

  • 1201 S MILLER ST

    WENATCHEE, WA 988013201

    Phone: (509) 662-1511

    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: 2018-04-27

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
I20180427000249IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making352324$0
99284Emergency department visit with moderate level of medical decision making343321$0
99291Critical care, first 30-74 minutes9695$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only6665$0
99283Emergency department visit with low level of medical decision making2828$0
View full utilization report →

Insurance plans in this area (ZIP 98801)

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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: 9234133703View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineWA
Emergency MedicineOR
Emergency MedicineAZ
Emergency MedicineCA
Emergency MedicineWI
-TX
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineWA

Reviews

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Frequently asked questions

What is the registry number for JUSTEN PETTIGREW (M.D.)?
The registry entry for JUSTEN PETTIGREW (M.D.) shows NPI 1104206507.
Does the public listing show JUSTEN PETTIGREW (M.D.) as active?
JUSTEN PETTIGREW (M.D.)'s NPI record reflects an active status in NPPES.
What services align with JUSTEN PETTIGREW (M.D.)'s listing?
JUSTEN PETTIGREW (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JUSTEN PETTIGREW (M.D.)?
JUSTEN PETTIGREW (M.D.) is associated with Wenatchee, Washington in the same public data insurers reference.
Why is information missing for JUSTEN PETTIGREW (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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