DR. JACOB PENNINGTON (D.O.) – Orthopaedic Surgery Physician, NPI 1174915235
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for DR. JACOB PENNINGTON (D.O.)
1641 TAMIAMI TRL
PORT CHARLOTTE, FL 339481018
Phone: (941) 629-6262
Fax: (941) 629-1782
Type: Mailing
9500 EUCLID AVE # A41
CLEVELAND, OH 441950001
Phone: (216) 445-3834
Fax: (216) 445-6255
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,675.
Total Amount is formed as General ($1,675) + Research ($0) + Ownership ($0) = $1,675.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($553).
Total Amount
$1,675
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $553 |
| Smith+Nephew, Inc. | $322 |
| LinkBio Corp | $271 |
| Stryker Corporation | $224 |
| Ethicon US, LLC | $144 |
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: 2021-06-09
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 |
|---|---|---|---|---|
| I20210609000245 | I | Orthopedic Surgery | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | 19,656 | 34 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,070 | 252 | $0 |
| J7332 | Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg | 763 | 12 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 580 | 303 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 464 | 361 | $0 |
Insurance plans in this area (ZIP 33948)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL | |
| Orthopedic Surgery, Sports Medicine | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery, Sports Medicine | AL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL |
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