Active NPI 1508818261 Individual Practitioner Male Practitioner

Dr. Carl Petri , MD

Surgery • Middlebury, VT

Professional Overview & Biography Verified Profile Summary

Dr. Carl Petri, MD is a registered healthcare professional specializing in Surgery in Middlebury, VT. Practice services are available at 116 PORTER DR under active NPI credentials.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

116 Porter Dr

Middlebury, VT 057538527

Telephone 8023889885

Fax 8023887120

Associated Practice Facility / Clinic

🏢 Addison Associates In Obstetrics And Gynecology Facility NPI 1508913286

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middlebury, VT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Middlebury, VT (83 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.7% 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
45380 Biopsy of large bowel using an endoscope	28	28	$974.00	$155.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$756.00	$178.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	59	59	$1019.15	$158.01
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	53	53	$1704.64	$219.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	39	39	$995.08	$186.50
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$181.09	$74.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$1148.35	$244.38
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$942.95	$168.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1169.88	$122.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	115	115	$1771.13	$215.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	46	$1384.48	$112.83
99213 Established patient office or other outpatient visit, typically 15 minutes	42	42	$207.14	$68.50
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	42	42	$759.17	$175.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	33	$1663.53	$243.00
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$217.11	$70.40
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1178.89	$176.36
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$1024.12	$100.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$127.50	$41.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$305.71	$101.14
49505 Repair of groin hernia (5 years or older)	13	13	$1934.62	$498.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	63	63	$125.00	$5.07
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	56	56	$970.00	$215.68
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	40	$395.00	$173.24
45380 Biopsy of large bowel using an endoscope	32	32	$955.00	$189.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$655.00	$100.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$1080.00	$241.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$180.00	$96.50
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$125.00	$69.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$75.00	$40.46
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$820.00	$175.49

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VT 0420007280

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

0002513 (VT)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Patricia Pisanelli , MD

Surgery

NPI 1235234618

Doctor of Medicine (M.D.)

Dr. Arthur Colley , MD

Internal Medicine - Gastroenterology

NPI 1255337093

Doctor of Medicine (M.D.)

Dr. Bradbury Fuller , MD

Surgery

NPI 1922039619

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 June 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2008

Registered at 116 PORTER DR, MIDDLEBURY, VT 057538527 (Tel: 8023889885)

📍

Updated Business Mailing Address June 09, 2008

Registered at 116 PORTER DR, MIDDLEBURY, VT 057538527 (Tel: 8023889885)

👤

Provider Name / Credentials Updated June 09, 2008

Recorded as CARL PETRI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Surgery (License #0420007280 in VT)

🟢

Initial NPI Registration & Enumeration May 17, 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: 1508818261

Entity Type:

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

Enumeration Date: May 17, 2006

Last Update: June 09, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

116 Porter Dr

Middlebury, VT 057538527

Phone: 8023889885

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.