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Active NPI 1477622181 Individual Practitioner Female Practitioner

Dr. Sue Ellen Petty , MD

Surgery • Princeton, KY

Professional Overview & Biography Verified Profile Summary

Dr. Sue Petty, MD is a registered healthcare professional specializing in Surgery in Princeton, KY. Practice services are available at 320 MICBETH DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 Micbeth Dr

Princeton, KY 424456332

Telephone 2703650320
Fax 2703654150
Associated Practice Facility / Clinic
🏢 Caldwell County Hospital Inc Facility NPI 1992268247

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Princeton, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Princeton, KY (495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 14 $105.00 $42.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $255.00 $100.41

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 34383

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64343833 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Lauren Cunningham , APRN

Nurse Practitioner - Family

NPI 1073401337

Advanced Practice Registered Nurse

Deborah Stovall , APRN, FNP-C

Nurse Practitioner - Family

NPI 1366908519

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1831202738

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2017

Registered at 320 MICBETH DR, PRINCETON, KY 424456332 (Tel: 2703650320)

📍
Updated Business Mailing Address November 29, 2017

Registered at PO BOX 410, PRINCETON, KY 42445 (Tel: 2703650320)

👤
Provider Name / Credentials Updated November 29, 2017

Recorded as SUE PETTY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Surgery (License #34383 in KY)

NPI Profile Active December 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2012

Registered at 1111 MEDICAL CENTER CIR, MAYFIELD, KY 420661194 (Tel: 2702514527)

📍
Updated Business Mailing Address December 28, 2012

Registered at 1111 MEDICAL CENTER CIR, MAYFIELD, KY 420661194 (Tel: 2702514527)

👤
Provider Name / Credentials Updated December 28, 2012

Recorded as SUE PETTY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2012

Surgery (License #34383 in KY)

🟢
Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477622181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: November 29, 2017
Sole Proprietor: No

Mailing Address

Po Box 410

Princeton, KY 42445

Phone: 2703650320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.