DR. DAVID A PENNINGTON (MD) – Obstetrics & Gynecology Physician, NPI 1609941582
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DAVID A PENNINGTON (MD)
2020 SILVER CREEK RD STE 206
BULLHEAD CITY, AZ 864428476
Phone: (928) 704-4327
Fax: (928) 444-1325
Type: Location
5750 E Highway 90 Ste 300
Sierra Vista, AZ 856359111
Phone: (520) 263-3620
Type: Location
2020 Silver Creek Rd Ste 206
Bullhead City, AZ 864428476
Phone: (928) 704-4327
Fax: (928) 444-1325
Type: Location
3507 N University Ave Ste 175
Provo, UT 846046692
Phone: (801) 719-8395
Type: Location
800 OAK ST
FARMVILLE, VA 239011199
Phone: (434) 315-2401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Bioventus LLC ($16).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $16 |
| GlaxoSmithKline, LLC. | $14 |
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: 2021-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210325002118 | I | Obstetrics/Gynecology | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | NV | |
| Internal Medicine | AZ | |
| - | AZ | |
| P O D I A T R Y | AZ | |
| Nurse Practitioner | AZ | |
| General Surgery | AZ | |
| General Surgery | AZ | |
| - | KS | |
| - | AZ | |
| Internal Medicine | NY |
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