TIMOTHY J PENN (MD) – Orthopaedic Surgery Physician, NPI 1124003439

TIMOTHY J PENN (MD) is a healthcare provider. based in Glen carbon, Illinois. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. 036092240 (IL). The NPI Number for TIMOTHY J PENN (MD) is 1124003439

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J PENN (MD)
NPI
1124003439
Phone
(618) 288-4388
Address
4802 S STATE ROUTE 159
Enumeration Date
8 December 2005
Last Update Date
3 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182889460
Graduation Year
1996 (30 years ago)
PAC ID
5597732610
Group Practice PAC ID
5193792018
Professional Enrollment ID
I20041104001189
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 TIMOTHY J PENN (MD)

  • South State RT 159, Glen Carbon, Madison County, Illinois, 62034, United States

    GLEN CARBON, IL 620341904

    Phone: (618) 288-4388

    Fax: (618) 288-4927

    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)

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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg32292$0
99213Established patient office or other outpatient visit, 20-29 minutes252161$0
20610Aspiration and/or injection of fluid from large joint13283$0
73562X-ray of knee, 3 views6963$0
99203New patient office or other outpatient visit, 30-44 minutes5858$0
View full utilization report →

Insurance plans in this area (ZIP 62034)

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Provider's Procedures

TIMOTHY J PENN (MD) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYIL73110X-ray of wrist, minimum of 3 views1912
ORTHOPEDIC SURGERYIL73562X-ray of knee, 3 views243191

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: 5193792018View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
General SurgeryIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
General SurgeryIL
-IL
Family PracticeMO
Family PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is TIMOTHY J PENN (MD)'s NPI number?
TIMOTHY J PENN (MD)'s NPI is 1124003439 — the number used across U.S. healthcare to identify this provider.
Is there an active status for TIMOTHY J PENN (MD)?
For scheduling context, TIMOTHY J PENN (MD) is shown as active in the registry.
What expertise is attributed to TIMOTHY J PENN (MD)?
TIMOTHY J PENN (MD)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is TIMOTHY J PENN (MD) registered?
Use Glen Carbon, Illinois as the headline location for TIMOTHY J PENN (MD) here.
Does TIMOTHY J PENN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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