Doctor profile · Federal record
Dr. Sam Pettibon, D.O.
Rehabilitation Chiropractor (CMS: Chiropractic) · Federal Way, WA
- NPI 1386860492
- Accepts Medicare
- 41 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
30804 Pacific Hwy S
Federal Way, WA 980034902
(253) 839-5644
fax (253) 839-2625
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- May 2, 2012
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 111NR0400X — NUCC code
- State license (1)
- Washington #2174
- Medicaid
- WA #2007078
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386860492. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
311
Distinct HCPCS
1
Medicare allowed
$13,510
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
98941 |
Chiropractic manipulative treatment, 3-4 spinal regions | 311 | 16 | $43 |
In context: peer comparison
Among 1 peers in Federal Way Rehabilitation Chiropractor, average services per provider: 311. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Sam Pettibon's medical specialty?
Dr. Sam Pettibon practices Rehabilitation Chiropractor in Federal Way, WA.
Where does Dr. Sam Pettibon practice?
Dr. Sam Pettibon practices at 30804 Pacific Hwy S, Federal Way, WA 980034902. Office phone: 2538395644.
What is Dr. Sam Pettibon's NPI?
Dr. Sam Pettibon's National Provider Identifier (NPI) is 1386860492, issued by NPPES.
Does Dr. Sam Pettibon accept Medicare assignment?
Yes. Dr. Sam Pettibon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sam Pettibon commonly perform?
Top Medicare-reported procedures in 2023: Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS 98941). Source: CMS Medicare Physician & Other Practitioners file.