CARSON BENNETT PENKAVA (M.D.) – Emergency Medicine Physician, NPI 1417118779
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
702 EMERGENCY MEDICINE in AL
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Provider Addresses for CARSON BENNETT PENKAVA (M.D.)
DCH Regional Medical Center, 809, University Boulevard East, Patton Place, Beverley Heights, Tuscaloosa, Tuscaloosa County, Alabama, 35401, United States
TUSCALOOSA, AL 354012029
Phone: (205) 759-7122
Type: Location
1038 Research Blvd Ste 280
Madison, AL 357582069
Phone: (256) 258-9315
Type: Location
440 Saint Lukes Dr Ste B
Montgomery, AL 361177104
Phone: (334) 721-7220
Type: Location
861 Hillcrest Rd
Mobile, AL 366953909
Phone: (251) 277-2570
Type: Location
2409 Acton Rd Ste 153
Vestavia, AL 352432939
Phone: (205) 379-0174
Type: Location
1715 N Bunner St
Foley, AL 365352229
Phone: (251) 277-2570
Type: Location
995 9TH AVE SW
BESSEMER, AL 350224527
Phone: (205) 481-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($35).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $35 |
| PFIZER INC. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101108000993 | I | Emergency Medicine | AL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 205 | 199 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 140 | 137 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 121 | 119 | $0 |
| 99291 | Critical care, first 30-74 minutes | 38 | 36 | $0 |
Insurance plans in this area (ZIP 35401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | FL |
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