PETER E. PENICO III (M.D.) – Emergency Medicine Physician, NPI 1982657979

PETER E. PENICO III (M.D.) is a healthcare provider. based in Clearwater, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. ME36495 (FL). The NPI Number for PETER E. PENICO III (M.D.) is 1982657979

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
PETER E. PENICO III (M.D.)
NPI
1982657979
Phone
Not provided
Address
18167 US HIGHWAY 19 N
Enumeration Date
18 May 2006
Last Update Date
14 March 2008

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9417986303
Graduation Year
2001 (25 years ago)
PAC ID
9739131038
Group Practice PAC ID
4880916782
Professional Enrollment ID
I20050215000633
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

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Provider Addresses for PETER E. PENICO III (M.D.)

  • Harbourside Building, 18167, US Highway 19 North, Clearwater, Pinellas County, Florida, 33764, United States

    SUITE 285

    CLEARWATER, FL 337643528

    Phone:

    Type: Mailing

  • Blake Medical Center, 2020, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342094604

    Phone: (941) 798-6303

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 33764)

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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: 4880916782View full group profile
NameSpecialtyState
DR. DANIEL E SILPA (MD)
-FL
KYLE A PLOTTS (MD, PA)
-DE
DR. DANIEL LEWIS WAGONER (D.O.)
-FL
SCOTT SELPH (M.D.)
-FL
TIMOTHY WAYNE BLEND (MD)
-FL
JEFFREY W. FARMER (M.D.)
-FL
DR. PETER CHARLES LOFASO (D.O.)
-PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for PETER E. PENICO III (M.D.)?
PETER E. PENICO III (M.D.) — NPI 1982657979 — is the standard way to identify this listing.
Is PETER E. PENICO III (M.D.) still practicing?
PETER E. PENICO III (M.D.) is currently listed as active in the public NPI registry.
What is PETER E. PENICO III (M.D.)'s specialty?
The listing groups PETER E. PENICO III (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect PETER E. PENICO III (M.D.) on a map?
Expect Clearwater, Florida as a primary anchor for PETER E. PENICO III (M.D.) unless the record lists multiple sites.
Why does PETER E. PENICO III (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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