MATTHEW D. PETTA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376569954
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA
Provider Addresses for MATTHEW D. PETTA (CRNA)
834 Sheridan St
Port Townsend, WA 983682443
Phone: (360) 385-2200
Type: Location
628, Madison Street, Port Townsend, Jefferson County, Washington, 98368, United States
PORT TOWNSEND, WA 983684414
Phone: (402) 990-0733
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $268.
Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Avanos Medical ($98).
Total Amount
$268
General + Research + Ownership
Payments
8
Total payment records
General Amount
$268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-06-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150619002355 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 122 | 122 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 85 | 85 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 70 | 70 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 54 | 54 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 15 | 14 | $0 |
Insurance plans in this area (ZIP 98368)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.