Kelli K. Pettit, MD
NPI 1477643807ActiveIndividual· Surgery· Waukesha, WI
Surgery (MD) in Waukesha, Wisconsin, trained at Washington University School of Medicine (class of 2003). 357 Medicare patients in 2024, $56,556 paid; nearly all of their 155 Part D prescriptions were generic (98%).
Overview
| NPI | 1477643807 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 14, 2006 |
| Last updated in NPPES | Apr 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 48072-020 | WI |
| Surgery, Vascular Surgery | 2086S0129X | 48072-020 | WI |
| Surgery, Surgical Oncology | 2086X0206X | 48072-020 | WI |
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 - General Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 357 |
|---|---|
| Services billed | 540 across 53 procedure codes |
| Paid by Medicare | $56,556 |
Part D prescriptions in 2024
| Prescriptions (claims) | 155 · 155 30-day fills |
|---|---|
| Patients | 110 |
| Total drug cost | $1,302 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | General Surgery |
| Secondary specialties | Surgical Oncology, Vascular Surgery |
Medical group
- Waukesha Surgical Specialists, S.C.Waukesha, WI · 18 clinicians
Hospital affiliations
- Oconomowoc Memorial HospitalOconomowoc, WI
- Waukesha Memorial HospitalWaukesha, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Waukesha
- 1295776649
- 1083601645
- 1437146099
- 1336136985
- 1518209022
- 1609863273
- 1851633754
- 1952963811
- 1952398521
- 1457797946
- 1346237906
- 1841369832