Doctor profile · Federal record

Dr. Katherine Pettyjohn, FNP-BC

Primary Care Clinic/Center (CMS: Nurse Practitioner) · Modesto, CA

  • NPI 1568945285
  • Accepts Medicare
  • 8 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1409 Lecourbe CT
Modesto, CA 953568905
(209) 409-8239
fax (209) 409-8239
Mailing address
3880 Colma Ave
Merced, CA 953488719

Credentials & registration

NPPES · NUCC
NPI registered
September 2018 — 8 yrs on file
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
261QP2300X — NUCC code
State license (1)
California #95009952

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1568945285. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,058
Distinct HCPCS
10
Medicare allowed
$39,458
HCPCS Description Services Patients Avg allowed
J1885 Injection, ketorolac tromethamine, per 15 mg 194 39 $1
87804 Detection test by immunoassay with direct visual observation for influenza virus 130 59 $16
99213 Established patient office or other outpatient visit, 20-29 minutes 124 91 $78
96372 Injection of drug or substance under skin or into muscle 113 64 $12
99214 Established patient office or other outpatient visit, 30-39 minutes 84 71 $110
81002 Urinalysis, manual test 59 50 $3
71046 X-ray of chest, 2 views 51 45 $30
99212 Established patient office or other outpatient visit, 10-19 minutes 49 41 $49
99203 New patient office or other outpatient visit, 30-44 minutes 46 46 $96
94010 Test to measure expiratory airflow and volume 33 30 $24

In context: peer comparison

Among 1 peers in Modesto Primary Care Clinic/Center, average services per provider: 58. This provider delivers 18× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$492
Transactions
10
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 7 $267.62
Abbvie INC. 1 $125.00
Lilly USA, LLC 2 $99.31

By nature of payment

Food and Beverage
$492

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
209
Patients
142
Total drug cost
$2,039
Drug Type Claims Patients Total cost
Azithromycin Generic 42 37 $233
Cephalexin Generic 35 32 $274
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 28 27 $322
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 22 16 $564
Prednisone Generic 18 17 $27
Azelastine Hcl Generic 15 0 $277
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 14 13 $89
Naproxen Generic 13 0 $77
Indomethacin Generic 11 0 $72
Lisinopril-Hydrochlorothiazide (Lisinopril/Hydrochlorothiazide) Brand 11 0 $102

Frequently asked questions

Auto-generated from federal data
What is Dr. Katherine Pettyjohn's medical specialty?
Dr. Katherine Pettyjohn practices Primary Care Clinic/Center in Modesto, CA.
Where does Dr. Katherine Pettyjohn practice?
Dr. Katherine Pettyjohn practices at 1409 Lecourbe CT, Modesto, CA 953568905. Office phone: 2094098239.
What is Dr. Katherine Pettyjohn's NPI?
Dr. Katherine Pettyjohn's National Provider Identifier (NPI) is 1568945285, issued by NPPES.
Does Dr. Katherine Pettyjohn accept Medicare assignment?
Yes. Dr. Katherine Pettyjohn accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Katherine Pettyjohn commonly perform?
Top Medicare-reported procedures in 2023: Injection, ketorolac tromethamine, per 15 mg (HCPCS J1885); Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.