Keith Pettibon, MD
NPI 1467744573ActiveIndividual· Radiology, Diagnostic Radiology· Fort Worth, TX
Radiology, Diagnostic Radiology (MD) with Ochsner Clinic LLC and 3 other groups, practicing in Fort Worth, Texas. Medicare paid $199,700 for services to 2,969 patients in 2024. Boston Scientific Corporation was the largest of 10 companies reporting payments in 2025, $967.32 in all, mostly food and beverage. Lists Baylor Scott and White All Saints Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1467744573 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | May 7, 2011 |
| Last updated in NPPES | Jun 13, 2024 |
| Certified by provider | Jun 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | R1614 | TX |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | R1614 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (LA); Practitioner - Diagnostic Radiology (MS); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,969 |
|---|---|
| Services billed | 5,415 across 233 procedure codes |
| Paid by Medicare | $199,700 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Ochsner Clinic LLCNew Orleans, LA · 2,864 clinicians
- Radiology Associates of North Texas PAFort Worth, TX · 346 clinicians
- Crawford Andrews and Davis PtrAlexandria, VA · 47 clinicians
- Methodist-CdiMansfield, TX · 43 clinicians
Hospital affiliations
- Baylor Scott and White All Saints Medical CenterFort Worth, TX
- Medical City WeatherfordWeatherford, TX
- Methodist Mansfield Medical CenterMansfield, TX
- Texas Health Harris Methodist Fort WorthFort Worth, TX
- Texas Health Harris Methodist Hospital Southwest FFort Worth, TX
Industry payments (Open Payments)
- 2025$967.32 · 47 payments from 10 companies
- 2024$1,264 · 53 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $457.91 | 27 |
| Sirtex Medical Inc | $195.83 | 8 |
| Stryker Corporation | $61.74 | 2 |
| Bard Peripheral Vascular, Inc. | $49.46 | 1 |
| Inari Medical, Inc. | $48.72 | 2 |
What the 2025 payments were for
- Food and Beverage$967.32 · 47 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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