India Pettus, PA-C
NPI 1306270533ActiveIndividual· Physician Assistant· Chevy Chase, MD
Physician Assistant (PA-C) with St. Luke's Hospital of Duluth and 1 other group, practicing in Chevy Chase, Maryland. 52 Medicare patients in 2024, $4,642 paid; all of their 219 Part D prescriptions were generic. Lists St Lukes Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1306270533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 23, 2013 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | C0005125 | MD |
| Physician Assistant, Surgical | 363AS0400X | C0005125 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (MD); Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 600 across 15 procedure codes |
| Paid by Medicare | $4,642 |
Part D prescriptions in 2024
| Prescriptions (claims) | 219 · 220 30-day fills |
|---|---|
| Patients | 110 |
| Total drug cost | $2,200 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- St. Luke's Hospital of DuluthDuluth, MN · 405 clinicians
- Dimensions Healthcare Associates, IncCheverly, MD · 199 clinicians
Hospital affiliations
- St Lukes HospitalDuluth, MN
- University of MD Capital Region Medical CenterUpper Marlboro, MD
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 physician assistants in Chevy Chase · All physician assistants in Maryland