Dr. Keith Pettibon

Diagnostic Radiology

Texas, United States

Dr. Pettibon practices at 2 locations. See details below.

About Dr. Pettibon

Dr. Pettibon is an Diagnostic Radiology Specialist in Fort Worth and Dallas, Texas. He graduated from University Of Texas Medical School At Houston in 2011. Dr. Pettibon accepts Medicare approved amount as full payment. 
The medical group (Radiology ) Dr. Pettibon works with accepts Medicare approved amount as full payment.

Full Name
Keith Pettibon
Specialty
Diagnostic Radiology
School
University Of Texas Medical School At Houston
Graduated class of
2011
Locations
Fort Worth, TX
Dallas, TX
NPI
1467744573
PAC ID
2147483647
Clinician Enrollment ID
I20170328002046
Cities

2

Number of cities where Dr. Pettibon has offices
Offices

2

Number of offices
Hospitals

4

Number of hospitals

Office Locations

FORT WORTH Office

Phone: (817) 321-0470

815 Pennsylvania Ave
Fort Worth, TX - 76104-2224

DALLAS Office

Phone: (817) 321-0937

17980 Dallas Pkwy
Suite 200
Dallas, TX - 75287-6817

Hospitals

TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F

CMS Certification Number: 450779

BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH

CMS Certification Number: 450137

METHODIST MANSFIELD MEDICAL CENTER

CMS Certification Number: 670023

NORTHWEST TEXAS HOSPITAL

CMS Certification Number: 450209

Doctors and Clinicians Utilization Data

SpecialtyHCPCS codeCode descriptionService Count Beneficiary count
Diagnostic Radiology 36556 Insertion of central venous catheter for infusion, patient 5 years or older 21 20
Diagnostic Radiology 36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older 22 22
Diagnostic Radiology 71046 X-ray of chest, 2 views 211 205
Diagnostic Radiology 73110 X-ray of wrist, minimum of 3 views 30 28
Diagnostic Radiology 73562 X-ray of knee, 3 views 48 42
Diagnostic Radiology 74177 CT scan of abdomen and pelvis with contrast 200 199
Diagnostic Radiology 76937 Ultrasound guidance for accessing into blood vessel 120 103
Diagnostic Radiology 77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device 71 69
Diagnostic Radiology 93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers 53 53

MIPS Scoring

Merit-based Incentive Payment System (MIPS) Overall Clinician Performance
Quality category score: 95/100
IA category score 40/40
MIPS Final Score without CPB: 96/100
MIPS Final Score: 100/100

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