JENNIFER W PENNOYER (M.D.) – Dermatology Physician, NPI 1982665725

JENNIFER W PENNOYER (M.D.) is a healthcare provider. based in Bloomfield, Connecticut. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. CT038483 (CT). The NPI Number for JENNIFER W PENNOYER (M.D.) is 1982665725

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER W PENNOYER (M.D.)
NPI
1982665725
Phone
(860) 243-3020
Address
47 JOLLEY DR
Enumeration Date
31 March 2006
Last Update Date
21 December 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8602433020
Graduation Year
1996 (30 years ago)
PAC ID
0345215091
Group Practice PAC ID
4789605023
Professional Enrollment ID
I20040827000138
Address ID
CT060023092BL47XXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

270 DERMATOLOGY in CT

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Provider Addresses for JENNIFER W PENNOYER (M.D.)

  • 47, Jolley Drive, Bloomfield, Hartford County, Connecticut, 06002, United States

    BLOOMFIELD, CT 060023092

    Phone: (860) 243-3020

    Fax: (860) 243-3002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $1,949.

Total Amount is formed as General ($1,949) + Research ($0) + Ownership ($0) = $1,949.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($449).

Total Amount

$1,949

General + Research + Ownership

Payments

115

Total payment records

General Amount

$1,949

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-27

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
I20040827000138IDermatologyCTTBD

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

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg3,40013$0
17003Destruction of precancer skin growth, 2-14 growths1,409325$0
99213Established patient office or other outpatient visit, 20-29 minutes773621$0
17000Destruction of precancer skin growth, 1 growth515424$0
11102Biopsy of related skin growth, first growth226200$0
View full utilization report →

Insurance plans in this area (ZIP 06002)

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Provider's Procedures

JENNIFER W PENNOYER (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCT11101Biopsy of each additional growth of skin and/or tissue8862

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: 4789605023View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantCT
-CT

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER W PENNOYER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1982665725 for JENNIFER W PENNOYER (M.D.).
Does the public listing show JENNIFER W PENNOYER (M.D.) as active?
JENNIFER W PENNOYER (M.D.)'s NPI record reflects an active status in NPPES.
What services align with JENNIFER W PENNOYER (M.D.)'s listing?
JENNIFER W PENNOYER (M.D.)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JENNIFER W PENNOYER (M.D.)?
JENNIFER W PENNOYER (M.D.) is associated with Bloomfield, Connecticut in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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