Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael D. Pettibon, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1699752097

Dr. Michael D. Pettibon, MD is an Anesthesiology in Dallas, Texas. Graduated from University of Texas Medical School at San Antonio in 1985, 41 years ago. Practices with U S Anesthesia Partners of Texas, PA, a 2,747-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
41
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6606 Lbj Fwy Ste 200
Dallas, TX 75240
Phone: (972) 715-5000
Fax: (972) 715-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence H0722 (TX)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence H0722 (TX)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence H0722 (TX)

Record details

NPI number1699752097
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1985 (41 years in practice)
Group practice U S Anesthesia Partners Of Texas, Pa — 2747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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