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

Mr. Gary Michael Petrus, MD

Individual provider Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1568525806

Mr. Gary Michael Petrus, MD is a Plastic and Reconstructive Surgery in N Little Rock, Arkansas. Graduated from University of Arkansas College of Medicine in 1987, 39 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
39
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4137 John F Kennedy Blvd Ste A
N Little Rock, AR 72116-8230
Phone: (501) 614-3052
Fax: (501) 614-3057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2504 McCain Blvd, North Little Rock, AR 72116 — (501) 758-9800

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence C7318 (AR)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence C7318 (AR)

Record details

NPI number1568525806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJanuary 25, 2019

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount