THUY LINH THI PENEDO (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1114151933

THUY LINH THI PENEDO (M.D.) is a healthcare provider. based in Brunswick, Georgia. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 77393 (GA). The NPI Number for THUY LINH THI PENEDO (M.D.) is 1114151933

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
THUY LINH THI PENEDO (M.D.)
NPI
1114151933
Phone
(912) 261-2669
Address
203 INDIGO DR
Enumeration Date
7 May 2009
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
9122612669
Graduation Year
2009 (17 years ago)
PAC ID
3779721790
Group Practice PAC ID
5890781371
Professional Enrollment ID
I20151222002365
Address ID
FL322078202JA800XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

960 PATHOLOGY in FL

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Provider Addresses for THUY LINH THI PENEDO (M.D.)

  • Indigo, Chipman Hill, Saint John, City of Saint John, Saint John County, New Brunswick, E2L 1A2, Canada

    BRUNSWICK, GA 315256865

    Phone: (912) 261-2669

    Type: Mailing

  • Baptist Medical Center Jacksonville, 800, Prudential Drive, Jacksonville, Duval County, Florida, 32207, United States

    JACKSONVILLE, FL 322078202

    Phone: (904) 202-2012

    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.

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: 2015-12-22

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
I20151222002365IPathologyFLTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,574823$0
88341Special stained specimen slides to examine tissue, each additional procedure514138$0
88112Cell examination of specimen, selective cellular enhancement technique278201$0
88342Special stained specimen slides to examine tissue, initial procedure233187$0
88360Microscopic genetic analysis of tumor, manual19449$0
View full utilization report →

Insurance plans in this area (ZIP 31525)

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Provider's Procedures

THUY LINH THI PENEDO (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYAL88304Pathology examination of tissue using a microscope, moderately low complexity122106
PATHOLOGYAL88307Pathology examination of tissue using a microscope, moderately high complexity15290
PATHOLOGYAL88342Tissue or cell analysis by immunologic technique270214

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: 5890781371View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YGA
P A T H O L O G YAL
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YGA
-FL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for THUY LINH THI PENEDO (M.D.)?
THUY LINH THI PENEDO (M.D.) — NPI 1114151933 — is the standard way to identify this listing.
Does CMS list THUY LINH THI PENEDO (M.D.) as active?
Yes — THUY LINH THI PENEDO (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes THUY LINH THI PENEDO (M.D.)?
For research purposes, treat THUY LINH THI PENEDO (M.D.) as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does THUY LINH THI PENEDO (M.D.) list a practice location?
Patients near Brunswick, Georgia may find THUY LINH THI PENEDO (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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