Active NPI 1093789299 Individual Practitioner Female Practitioner

Dr. Kimberly Ann Pettit , MD

Dermatology • American Fork, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Pettit, MD is a certified Dermatology practicing in American Fork, UT. With approximately 25 years of clinical experience since graduating from Georgetown University School Of Medicine in 2001, Dr. Pettit delivers high-quality medical care to the local community at 98 N 1100 E.

Dr. Pettit is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98 N 1100 E
Suite 301

American Fork, UT 840032935

Telephone 8014922300

Associated Practice Facility / Clinic

🏢 Ihc Health Services Inc Facility NPI 1508177072

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in American Fork, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -1.3 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

4 Specialists

Practicing in American Fork, UT (184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pettit (25 Years) 25 Yrs

American Fork Specialty Average (26.3 Years) 26.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	236	69	$16.00	$6.19
99213 Established patient office or other outpatient visit, typically 15 minutes	177	146	$205.00	$86.31
17000 Destruction of skin growth	125	106	$165.00	$45.06
11102 Tangential biopsy of single skin lesion	116	104	$233.00	$80.71
17110 Destruction of up to 14 skin growths	106	94	$259.68	$103.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	74	$289.00	$121.62
11103 Biopsy of related skin growth, each additional growth	49	30	$116.00	$46.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$254.00	$106.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$377.00	$159.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$129.00	$52.64
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$164.00	$68.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	187	52	$14.00	$6.12
99213 Established patient office or other outpatient visit, typically 15 minutes	157	134	$143.87	$85.27
17000 Destruction of skin growth	105	90	$165.00	$44.49
11102 Tangential biopsy of single skin lesion	99	90	$192.82	$81.73
17110 Destruction of up to 14 skin growths	89	81	$226.00	$103.45
11103 Biopsy of related skin growth, each additional growth	66	41	$103.00	$47.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	50	$204.51	$121.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$179.00	$105.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$266.19	$158.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$87.37	$53.57
11104 Punch biopsy, first skin growth	19	17	$232.74	$118.97
17111 Destruction of skin growth, 15 or more growths	14	13	$268.00	$125.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	305	68	$13.74	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	162	134	$122.27	$86.86
17000 Destruction of skin growth	119	98	$163.18	$43.83
11102 Tangential biopsy of single skin lesion	105	91	$184.00	$79.38
17110 Destruction of up to 14 skin growths	83	75	$223.22	$102.55
11103 Biopsy of related skin growth, each additional growth	66	38	$99.00	$48.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$177.33	$107.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$175.09	$123.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$74.60	$53.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	254	47	$13.00	$6.21
99213 Established patient office or other outpatient visit, typically 15 minutes	178	145	$116.00	$87.96
11102 Tangential biopsy of single skin lesion	119	107	$184.00	$84.83
17000 Destruction of skin growth	97	80	$157.00	$41.18
17110 Destruction of up to 14 skin growths	85	77	$215.00	$105.51
11103 Biopsy of related skin growth, each additional growth	64	33	$99.00	$50.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$173.00	$108.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$171.00	$125.41
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$119.00	$69.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$69.00	$54.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	204	39	$13.00	$5.75
11102 Tangential biopsy of single skin lesion	84	78	$184.00	$87.24
99213 Established patient office or other outpatient visit, typically 15 minutes	75	66	$116.55	$72.69
17000 Destruction of skin growth	70	64	$153.00	$42.53
17110 Destruction of up to 14 skin growths	60	56	$210.00	$101.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	54	$171.00	$105.97
11103 Biopsy of related skin growth, each additional growth	45	30	$99.00	$51.33
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$120.24	$73.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$173.00	$104.88
11104 Punch biopsy, first skin growth	14	14	$231.00	$121.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	334	69	$18.00	$5.53
17000 Destruction of skin growth	117	105	$149.00	$44.06
11102 Tangential biopsy of single skin lesion	105	99	$147.96	$84.52
99213 Established patient office or other outpatient visit, typically 15 minutes	93	76	$116.00	$72.90
17110 Destruction of up to 14 skin growths	83	75	$205.00	$103.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	75	$171.00	$106.90
11103 Biopsy of related skin growth, each additional growth	61	39	$79.39	$51.82
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$119.00	$74.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$173.00	$106.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$69.00	$43.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	338	68	$18.00	$5.12
99213 Established patient office or other outpatient visit, typically 15 minutes	112	99	$115.00	$70.87
11100 Biopsy of single growth of skin and/or tissue	111	96	$190.00	$85.68
17000 Destruction of skin growth	105	90	$146.00	$44.91
17110 Destruction of up to 14 skin growths	82	75	$200.00	$104.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	64	$170.00	$104.61
11101 Biopsy of each additional growth of skin and/or tissue	46	33	$62.00	$32.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$173.00	$105.21
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$118.00	$70.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$69.00	$42.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	335	60	$18.00	$5.43
11100 Biopsy of single growth of skin and/or tissue	113	101	$188.00	$88.92
17000 Destruction of skin growth	92	78	$142.00	$45.34
99213 Established patient office or other outpatient visit, typically 15 minutes	90	74	$115.00	$69.96
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$118.00	$72.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	45	$170.00	$104.04
17110 Destruction of up to 14 skin growths	52	47	$200.00	$102.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$173.00	$104.89
11101 Biopsy of each additional growth of skin and/or tissue	44	27	$62.00	$32.03
17004 Destruction of precancer skin growth, 15 or more growths	18	17	$294.00	$144.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$69.00	$41.79
17111 Destruction of skin growth, 15 or more growths	11	11	$238.00	$125.82

Medical Specialties & State Licenses

CMS Verified: 2021-10-01

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IN 01056997A

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

98 N 1100, American Fork, UT 840032947

Phone: 8014922300

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Stewart West , MD

Dermatology

NPI 1518968387

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2014

Registered at 98 N 1100 E, SUITE 301, AMERICAN FORK, UT 840032935 (Tel: 8014922300)

📍

Updated Business Mailing Address July 23, 2014

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8014922300)

👤

Provider Name / Credentials Updated July 23, 2014

Recorded as KIMBERLY PETTIT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Dermatology (License #01056997A in IN)

🟢

Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093789299

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 14, 2006

Last Update: October 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8014922300

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.