Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801228630 Individual Practitioner Male Practitioner

Dr. Edward Walter Pettyjohn , MD

Orthopaedic Surgery • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Dr. Edward Pettyjohn, MD is a registered healthcare professional specializing in Orthopaedic Surgery in San Antonio, TX. Practice services are available at 9110 N LOOP 1604 W STE 104 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9110 N Loop 1604 W Ste 104

San Antonio, TX 782493397

Telephone 2108027007
Associated Practice Facility / Clinic
🏢 Seasons Counseling, Pllc Facility NPI 1972992535

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.7 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
166 Specialists

Practicing in San Antonio, TX (1627 Statewide)

Telehealth Adoption Rate
9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.6% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
147 99 $115.00 $87.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
89 89 $273.00 $163.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
84 68 $167.00 $123.56
72110 X-ray of lower and sacral spine, minimum of 4 views
55 53 $150.00 $48.69
63048 Partial removal of spine bone with release of spinal cord and/or nerves
47 19 $1304.55 $135.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
45 45 $191.00 $105.03
72100 X-ray of lower and sacral spine, 2-3 views
31 19 $132.00 $38.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
23 20 $267.00 $175.16
72050 X-ray of upper spine, 4 or 5 views
20 20 $147.00 $51.48
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
19 18 $4304.89 $576.28
72114 X-ray lower and sacral spine, minimum of 6 views
11 11 $234.00 $55.03

Medical Specialties & State Licenses

CMS Verified: 2025-05-05
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX S1430

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License TX S1430

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
400888001 (TX)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Amy Drake , LCSW

Social Worker - Clinical

NPI 1083324602

Licensed Clinical Social Worker

Kosaka Martin , LCSW

Social Worker - Clinical

NPI 1124743596

Licensed Clinical Social Worker

Ashley Zamboanga , LPC-A, CSC, MED

Counselor - Mental Health

NPI 1144913104

LPCA, CSC, Master of Education

Earlisha White

Home Health

NPI 1184365538
Kyndal Hoepken , MS, LPC, CATP

Counselor - Professional

NPI 1225803885

Master of Science, Licensed Professional Counselor, CATP

Yvronda Thompson , LPC

Counselor - Professional

NPI 1285105502

Licensed Professional Counselor

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location April 03, 2024

Registered at 9110 N LOOP 1604 W STE 104, SAN ANTONIO, TX 782493397 (Tel: 2108027007)

📍
Updated Business Mailing Address April 03, 2024

Registered at 15311 ESCARPMENT OAK, HELOTES, TX 780235155 (Tel: 7706537413)

📍
Updated Practice Location February 16, 2022

Registered at 5430 FREDERICKSBURG RD STE 400, SAN ANTONIO, TX 782293539 (Tel: 2108640827)

📍
Updated Business Mailing Address February 16, 2022

Registered at 8711 VILLAGE DR STE 114, SAN ANTONIO, TX 782175419

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2021

Orthopaedic Surgery (License #S1430 in TX)

📍
Updated Practice Location December 18, 2019

Registered at 18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX 782584228 (Tel: 2104959047)

👤
Provider Name / Credentials Updated December 18, 2019

Recorded as EDWARD PETTYJOHN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2019

Orthopaedic Surgery (License #S1430 in TX)

👤
Provider Name / Credentials Updated August 14, 2019

Recorded as EDWARD PETTYJOHN, MD

📍
Updated Practice Location July 19, 2019

Registered at 18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX 78258 (Tel: 2104959047)

📍
Updated Business Mailing Address July 19, 2019

Registered at 18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX 782584228 (Tel: 2104959047)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2019

Orthopaedic Surgery (License #S1430 in TX)

NPI Profile Active August 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2013

Registered at 1 ROBERT WOOD JOHNSON PL, MEB 422, NEW BRUNSWICK, NJ 089011928 (Tel: 7322357869)

📍
Updated Business Mailing Address August 03, 2013

Registered at 51 FRENCH ST, MEDICAL EDUCATION BUILDING 422A, NEW BRUNSWICK, NJ 089011921 (Tel: 7322357869)

👤
Provider Name / Credentials Updated August 03, 2013

Recorded as EDWARD KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Edward Pettyjohn. Be the first to share your experience!

Sign in to leave a review for Dr. Edward Pettyjohn

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801228630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2013
Last Update: May 05, 2025
Sole Proprietor: Yes

Mailing Address

15311 Escarpment Oak

Helotes, TX 780235155

Phone: 7706537413

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.