PAMELA R MIDBOE PENN (MD) – Obstetrics & Gynecology Physician, NPI 1336184399

PAMELA R MIDBOE PENN (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 36835 (KY). The NPI Number for PAMELA R MIDBOE PENN (MD) is 1336184399

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA R MIDBOE PENN (MD)
NPI
1336184399
Phone
(859) 257-7910
Address
2333 ALUMNI PARK PLZ
Enumeration Date
16 June 2006
Last Update Date
7 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
8593237426
Graduation Year
1989 (37 years ago)
PAC ID
9436148798
Group Practice PAC ID
5698689909
Professional Enrollment ID
I20040511000849
Address ID
KY405043274LE2400XPTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

631 OBSTETRICS/GYNECOLOGY in KY

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Provider Addresses for PAMELA R MIDBOE PENN (MD)

  • 2333, Alumni Park Plaza, Lexington, Fayette County, Kentucky, 40517, United States

    SUITE 200

    LEXINGTON, KY 405174012

    Phone: (859) 257-7910

    Type: Mailing

  • 800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States

    LEXINGTON, KY 405360001

    Phone: (859) 323-5345

    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: 2004-05-11

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
I20040511000849IObstetrics/GynecologyKYTBD

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 minutes3027$0
View full utilization report →

Insurance plans in this area (ZIP 40517)

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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: 5698689909View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
A N E S T H E S I O L O G YFL
Pediatric MedicineKY
Internal MedicineKY
H O S P I T A L I S TOH
Critical Care (Intensivists), Pulmonary DiseaseKY
Interventional Radiology, Diagnostic RadiologyKY
Internal MedicineKY
Thoracic Surgery, Cardiac SurgeryKY
Pediatric Medicine, Internal MedicineKY

Reviews

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Frequently asked questions

Is there an official ID for PAMELA R MIDBOE PENN (MD) in U.S. healthcare records?
The official identifier for PAMELA R MIDBOE PENN (MD) is NPI 1336184399.
Is PAMELA R MIDBOE PENN (MD) still an active registrant?
PAMELA R MIDBOE PENN (MD) carries an active NPI according to the public dataset.
What expertise is attributed to PAMELA R MIDBOE PENN (MD)?
PAMELA R MIDBOE PENN (MD)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is PAMELA R MIDBOE PENN (MD) located near Lexington?
PAMELA R MIDBOE PENN (MD) currently maps to Lexington, Kentucky in this extract.
When was this NPI issued?
Enumeration for PAMELA R MIDBOE PENN (MD) is noted as June 16, 2006 where the registry provides it.

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