NPPES file of Aug 9, 2026

Irina Sergeevna Petty, PA

Physician Assistant · Newark, OH

Irina Sergeevna Petty, PA is a physician assistant with a practice address in Newark, Ohio, and NPI 1619211463, issued on Nov 17, 2012. Check the license (Ohio 003613, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1619211463
Name
Irina Sergeevna Petty
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
003613 OH
Self-reported in NPPES; status is on the state search
Practice location
2000 Tamarack RD, Newark, OH 43055
Phone
(220) 564-4650
Enumerated
Nov 17, 2012
Record last updated
Apr 2, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(220) 564-4238
Medicare enrollment
Enrolled (PECOS I20130605000644); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 2000 Tamarack RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Judson BrandenburgCertified Respiratory Therapist1134090335
  2. Betty Gebhart, LISWClinical Social Worker1154406593
  3. Ilya Goldenberg, MDHospitalist Physician1619976669
  4. Connie Greene, CRNACertified Registered Nurse Anesthetist1215093950
  5. S Anne Miller-Cohen, CRNACertified Registered Nurse Anesthetist1285783860
  6. Shantilal Patel, MDAnesthesiology Physician1922188374

Verify Irina Sergeevna Petty in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Ohio board licenses this profession
    Search for license 003613
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

3.7 times the Medicare Part D claims of the average physician assistant in 2024

3,067 Medicare Part D claims for 484 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were under 1% of claims. 2,028 claims were for opioids.

  1. Irina Petty3,067
  2. Specialty average830

Most prescribed

  1. Hydrocodone-Acetaminophen741 claims
  2. Oxycodone-Acetaminophen574 claims
  3. Gabapentin531 claims
  4. Oxycodone Hcl269 claims
  5. Methadone Hcl179 claims
  6. Cyclobenzaprine Hcl161 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 79.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.0
  2. Costout of 100 · 30%57.9
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Licking Memorial Health ProfessionalsNewark, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Physician Assistant providers in Ohio

There are 5,325 physician assistant records in Ohio.

Other physician assistant records in Ohio

  1. Ali Abady, PA-CWesterville, OH1790268795
  2. Kristin Abbruzzi, PAColumbus, OH1548228018
  3. Nadia Abdallah, PA-CElyria, OH1669839874
  4. Sarah Abdallah, PA-CCenterville, OH1730446162
  5. Muhammad AbdelhameedToledo, OH1346104668
  6. Tony Abdulkarim, PA-CCleveland, OH1750772711
  7. Krislyn Aberegg, PA-CCleveland, OH1093233082
  8. Jennie Abernathy, PACleveland, OH1255003398
  9. Bethany Abernethy, PACincinnati, OH1235566548
  10. Molly Abourezk, PA-CCincinnati, OH1306330006

Common questions

What is Irina Sergeevna Petty, PA's NPI number?

Irina Sergeevna Petty, PA's National Provider Identifier (NPI) is 1619211463, issued on Nov 17, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Irina Sergeevna Petty, PA located?

The NPPES record lists a practice address at 2000 Tamarack RD, Newark, OH, 43055. Phone: (220) 564-4650. Providers update this record themselves, so call before visiting.

How can I verify Irina Sergeevna Petty, PA's license?

NPPES lists Ohio license number 003613, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.

How much does Irina Sergeevna Petty, PA prescribe under Medicare Part D?

In 2024, Irina Sergeevna Petty, PA had 3,067 Medicare Part D claims for 484 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Irina Sergeevna Petty, PA's MIPS final score?

The 2023 MIPS final score is 79.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.