DR. SEAN GREGORY PENBERTHY (DO) – Obstetrics & Gynecology Physician, NPI 1023492394

DR. SEAN GREGORY PENBERTHY (DO) is a healthcare provider. based in Fort wainwright, Alaska. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 13403284-1204 (UT). The NPI Number for DR. SEAN GREGORY PENBERTHY (DO) is 1023492394

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEAN GREGORY PENBERTHY (DO)
NPI
1023492394
Phone
Not provided
Address
4076 NEELY RD
Enumeration Date
16 July 2015
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
4385006121
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20230810004171
Address ID
UT847219746CE1303XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

111 OBSTETRICS/GYNECOLOGY in AK

Provider Addresses for DR. SEAN GREGORY PENBERTHY (DO)

  • 4076 NEELY RD

    DEPARTMENT OF WOMEN'S HEALTH

    FORT WAINWRIGHT, AK 997035001

    Phone:

    Type: Mailing

  • 1303 N MAIN ST STE 3C

    CEDAR CITY, UT 847219746

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230810004171IObstetrics/GynecologyUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 99703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SEAN GREGORY PENBERTHY (DO)?
DR. SEAN GREGORY PENBERTHY (DO) — NPI 1023492394 — is the standard way to identify this listing.
Is DR. SEAN GREGORY PENBERTHY (DO) listed as active for patients and plans?
The listing shows DR. SEAN GREGORY PENBERTHY (DO) as active in the NPI system.
What is DR. SEAN GREGORY PENBERTHY (DO) best known for clinically?
Directory data describes DR. SEAN GREGORY PENBERTHY (DO) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SEAN GREGORY PENBERTHY (DO) based?
DR. SEAN GREGORY PENBERTHY (DO) is tied to Fort Wainwright, Alaska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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