Provider profile
IndividualKeith Pettibon
Radiology in Fort Worth, TX. NPI 1467744573, listed in the CMS NPI Registry since 05/07/2011. Bills Medicare.
NPI 1467744573Specialty RadiologyEnumerated 05/07/2011
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Registry and Medicare facts
- Practice location
- 815 Pennsylvania Ave, Fort Worth, TX 76104 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 05/07/2011 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 2,969 Part B CMS Medicare 2024
In the full profile
Locked- 233 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in TX by patient mix and volume
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