DR. DAVID ROSS PENN (M.D.) – Vascular & Interventional Radiology Physician, NPI 1760644355

DR. DAVID ROSS PENN (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 30815 (SC). The NPI Number for DR. DAVID ROSS PENN (M.D.) is 1760644355

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ROSS PENN (M.D.)
NPI
1760644355
Phone
(954) 560-1177
Address
860 PEACHTREE ST NE UNIT 1902
Enumeration Date
26 June 2008
Last Update Date
25 December 2018

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7709195238
Graduation Year
2008 (18 years ago)
PAC ID
8426279563
Group Practice PAC ID
7315289972
Professional Enrollment ID
I20141015000500
Address ID
GA302814175ST7402XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

217 INTERVENTIONAL RADIOLOGY in GA

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Provider Addresses for DR. DAVID ROSS PENN (M.D.)

  • 860 PEACHTREE ST NE UNIT 1902

    ATLANTA, GA 303081277

    Phone: (954) 560-1177

    Type: Mailing

  • Southcrest Drive, Stockbridge, Henry County, Georgia, 30236:30281, United States

    STOCKBRIDGE, GA 302816117

    Phone: (770) 996-9945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $4,247.

Total Amount is formed as General ($4,247) + Research ($0) + Ownership ($0) = $4,247.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($3,242).

Total Amount

$4,247

General + Research + Ownership

Payments

31

Total payment records

General Amount

$4,247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2014-10-15

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
I20141015000500IInterventional RadiologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes248108$0
93925Ultrasound of leg arteries or artery grafts10667$0
93922Ultrasound study of arm and leg arteries10568$0
93970Ultrasound study of arm or leg veins with compression and maneuvers9476$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers6430$0
View full utilization report →

Insurance plans in this area (ZIP 30308)

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Provider's Procedures

DR. DAVID ROSS PENN (M.D.) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYMA36556Insertion of central venous catheter for infusion, patient 5 years or older1717

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: 7315289972View full group profile
NameSpecialtyState
Vascular Surgery, Interventional RadiologyGA
Vascular SurgeryGA

Reviews

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Frequently asked questions

What NPI should I save for DR. DAVID ROSS PENN (M.D.)?
Save NPI 1760644355 if you need a stable reference for DR. DAVID ROSS PENN (M.D.).
Is DR. DAVID ROSS PENN (M.D.) active in the national directory?
DR. DAVID ROSS PENN (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. DAVID ROSS PENN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. DAVID ROSS PENN (M.D.) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID ROSS PENN (M.D.)?
The page summarizes Atlanta, Georgia for DR. DAVID ROSS PENN (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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