Doctor profile · Federal record
Dr. Dix Pettey, O.D., M.S.
Optometrist (CMS: Optometry) · Salt Lake City, UT
- NPI 1629457262
- Accepts Medicare
- MIPS 92.1 / 100 · 2023
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
65 S Mario Capecchi Dr
Salt Lake City, UT 841320005
(801) 581-2352
Credentials & registration
- NPI registered
- May 2015 — 11 yrs on file
- Profile last updated
- November 11, 2021
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Utah #9418444-9934
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629457262. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
664
Distinct HCPCS
10
Medicare allowed
$41,297
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 134 | 131 | $73 | |
92012 |
Established patient problem focused exam of visual system | 95 | 77 | $49 | |
92014 |
Established patient complete exam of visual system | 86 | 86 | $74 | |
92012 |
Established patient problem focused exam of visual system | 48 | 36 | $49 | |
92072 |
Fitting of contact lens for management of corneal condition | 31 | 29 | $92 | |
92004 |
New patient complete exam of visual system | 29 | 29 | $92 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 28 | 25 | $95 | |
92072 |
Fitting of contact lens for management of corneal condition | 24 | 21 | $92 | |
92004 |
New patient complete exam of visual system | 23 | 23 | $92 | |
92060 |
Exam to measure eye deviation and range of motion | 21 | 18 | $36 |
In context: peer comparison
Among 10 peers in this city , average services per provider: 64. This provider delivers 10× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
65
Patients
0
Total drug cost
$24,749
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Restasis (Cyclosporine) | Brand | 27 | 0 | $23,852 |
| Latanoprost | Generic | 23 | 0 | $616 |
| Brimonidine Tartrate | Generic | 15 | 0 | $281 |
Hospital affiliations
Frequently asked questions
What is Dr. Dix Pettey's medical specialty?
Dr. Dix Pettey practices Optometrist in Salt Lake City, UT.
Where does Dr. Dix Pettey practice?
Dr. Dix Pettey practices at 65 S Mario Capecchi Dr, Salt Lake City, UT 841320005. Office phone: 8015812352.
What is Dr. Dix Pettey's NPI?
Dr. Dix Pettey's National Provider Identifier (NPI) is 1629457262, issued by NPPES.
Does Dr. Dix Pettey accept Medicare assignment?
Yes. Dr. Dix Pettey accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dix Pettey commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient problem focused exam of visual system (HCPCS 92012); Established patient complete exam of visual system (HCPCS 92014). Source: CMS Medicare Physician & Other Practitioners file.