MR. BRADLEY JAMES PETTY (MD) – Otolaryngology Physician, NPI 1790103976
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
288 OTOLARYNGOLOGY in TN
Provider Addresses for MR. BRADLEY JAMES PETTY (MD)
550 GAGE BLVD STE 101
RICHLAND, WA 993529532
Phone: (509) 942-3627
Fax: (509) 627-2983
Type: Mailing
910 Madison Ave Ste 1031
Memphis, TN 381033403
Phone: (901) 448-5364
Type: Location
780 SWIFT BLVD STE 301
RICHLAND, WA 993523524
Phone: (509) 942-3178
Fax: (509) 946-1735
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $408.
Total Amount is formed as General ($408) + Research ($0) + Ownership ($0) = $408.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($221).
Total Amount
$408
General + Research + Ownership
Payments
8
Total payment records
General Amount
$408
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $221 |
| Medtronic, Inc. | $106 |
| GENZYME CORPORATION | $40 |
| AERIN MEDICAL INC. | $24 |
| LivaNova USA, Inc. | $17 |
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: 2019-09-26
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 |
|---|---|---|---|---|
| I20190926000689 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 103 | 103 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 78 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 59 | 59 | $0 |
Insurance plans in this area (ZIP 99352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology, Hematology, Hematology/Oncology, Internal Medicine | WA | |
| - | MO | |
| Hospitalist, Internal Medicine | WA | |
| - | WA | |
| P O D I A T R Y | WA | |
| Hematology/Oncology, Internal Medicine | WA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | NC | |
| Physician Assistant | WA | |
| Internal Medicine | WA |
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