Dr. Clarence Rolland Petrie , MD
Surgery • Fullerton, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clarence Petrie has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Clarence Petrie, MD was a registered Surgery practicing in Fullerton, CA. Throughout an active medical career spanning 20 years, Dr. Petrie provided care at the practice location at 1837 SUNNYCREST DR until profile deactivation on 2026-05-07.
Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1837 Sunnycrest Dr
Fullerton, CA 928353616
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in Fullerton, CA
Practicing in Fullerton, CA (3346 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
155 | 120 | $124.52 | $78.70 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
37 | 33 | $178.54 | $115.87 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
21 | 21 | $276.00 | $175.55 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
21 | 20 | $87.00 | $47.81 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
17 | 17 | $191.65 | $115.43 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 07, 2026
NPI status registered as active in NPPES database
Registered at 1837 SUNNYCREST DR, FULLERTON, CA 928353616 (Tel: 7144466653)
Registered at 1837 SUNNYCREST DR, FULLERTON, CA 928353616 (Tel: 7144466653)
Recorded as CLARENCE PETRIE, MD
Surgery (License #A32946 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1837 Sunnycrest Dr
Fullerton, CA 928353616
Phone: 7144466653
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