KEITH PETTIBON MD NPI 1467744573

NPI Details

Keith Pettibon, MD is a diagnostic radiology radiology in Fort Worth, TX with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Keith Pettibon, MD NPI is 1467744573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2011

The provider's business location address is:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 321-0404

The NPI 1467744573 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• X-ray of chest, 1 view (HCPCS:71045)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Ultrasonic guidance for blood vessel access (HCPCS:76937)
• Review by radiologist of additional artery image (HCPCS:75774)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ct scan of chest without contrast (HCPCS:71250)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of chest, 2 views (HCPCS:71046)
• Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
• Ct scan of chest with contrast (HCPCS:71260)
• Review by radiologist of abdominal artery image (HCPCS:75726)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond (HCPCS:36248)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
• Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
• Ct scan of pelvis without contrast (HCPCS:72192)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• X-ray of knee, 1-2 views (HCPCS:73560)
• Ct scan of face without contrast (HCPCS:70486)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• X-ray of knee, 3 views (HCPCS:73562)
• Ct scan of middle spine without contrast (HCPCS:72128)
• Occlusion of growths or obstructed vessels with review by radiologist (HCPCS:37243)
• Mri scan of brain without contrast (HCPCS:70551)
• Nuclear medicine study of lung circulation (HCPCS:78580)
• Ultrasonic guidance for needle placement (HCPCS:76942)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• Ct scan of leg without contrast (HCPCS:73700)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of lower leg, 2 views (HCPCS:73590)
• Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Needle biopsy of kidney (HCPCS:50200)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of elbow, 2 views (HCPCS:73070)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Review by radiologist of ct guidance for needle placement (HCPCS:77012)
• Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/7/2011 and was last updated on 6/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: