Dr. Theodore Pettle, MD
1801 S 5th St Ste 114, Mcallen, TX 78503 • +1-764-555-3765
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Mcallen Percentiles
NPI #1003102211 • CBSA Regional • Gastroenterology
Within the Mcallen, TX (CBSA local) Gastroenterology cohort, Dr. Theodore Pettle, MD with sub-specialty concentration in 43 Active CMS HCPCS Codes ranks at the 25th municipal percentile and 62.89th TX percentile (-0.17σ Z-score) based on 1,980 billed procedures for 455 patients.
Fee-schedule auditing of NPI 1003102211 highlights 733 annual claims for 99214 (25th Mcallen percentile; $125–$171 self-pay corridor) plus 495 encounters under 45380 and 416 under 43239.
Uninsured and high-deductible cash patients visiting Dr. Theodore Pettle in Mcallen (78503) face an estimated $209.00 initial evaluation fee at 1801 S 5th St Ste 114 (in-person clinic visits only; 10-minute average reception wait; bedside manner 4.67/5 from 6 verified reports).
Clinical background for Dr. Pettle (MD, NPI #1003102211) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 1801 S 5th St Ste 114.
Compared against Mcallen, TX Gastroenterology peers
1,980 annual services across 455 beneficiaries
Standard deviations from TX Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 733 | 25th | $125 – $171 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 495 | 26th | $301 – $412 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 416 | 21th | $249 – $342 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 198 | 25th | $335 – $458 |
| 99204 | New Patient Digestive & Hepatology Consultation | 139 | 28th | $176 – $241 |
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Dr. Theodore Pettle, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pettle National Provider Identifier | NPI #1003102211 (MD) | CMS NPPES Registry (78503) |
| Dr. Pettle Mcallen CMS Volume Rank | 25.00th Pct (1,980 CMS svcs; Z -0.168σ) | CMS Medicare Part B (TX Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mcallen, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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