DR. SCOTT D PETHKE M.D. NPI 1609828094

NPI Information

  • NPI: 1609828094
  • Provider Name: DR. SCOTT D PETHKE, M.D.
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1301 BROAD ST
    AUGUSTA, GA
    ZIP 30901
  • Phone: (706) 922-5864

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NPI Details

DR. Scott D Pethke, M.D. is a pulmonary disease internal medicine in Augusta, GA with 32 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Scott D Pethke, M.D. NPI is 1609828094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1993

The provider's business location address is:

1301 BROAD ST
AUGUSTA, GA
ZIP 30901-055
Phone: (706) 922-5864
Fax: (706) 922-5819

The NPI 1609828094 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.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • X-ray of chest, 2 views (HCPCS:71046)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Test to measure expiratory airflow and volume (HCPCS:94010)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 11/18/2016.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease10684RLOUISIANANo
2207RP1001XInternal MedicinePulmonary Disease066307GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15808779OTHERLOUISIANAAETNA
2G65751MEDICARE UPINLOUISIANA
34800148OTHERLOUISIANAUNITED HEALTHCARE
41492582MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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