DR. MICHAEL PHILLIP PENCE (D.O.) – Anesthesiology Physician, NPI 1114339728

DR. MICHAEL PHILLIP PENCE (D.O.) is a healthcare provider. based in Bethesda, Maryland. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. OS017860 (PA). The NPI Number for DR. MICHAEL PHILLIP PENCE (D.O.) is 1114339728

Main info

Male
12 Years Of Experience
Name
DR. MICHAEL PHILLIP PENCE (D.O.)
NPI
1114339728
Phone
(301) 295-4455
Address
8901 ROCKVILLE PIKE
Enumeration Date
30 May 2014
Last Update Date
5 May 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7068559860
Graduation Year
2014 (12 years ago)
PAC ID
2062891930
Group Practice PAC ID
6204905763
Professional Enrollment ID
I20220623001070
Address ID
GA309096521AU3651XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

Provider Addresses for DR. MICHAEL PHILLIP PENCE (D.O.)

  • 8901 ROCKVILLE PIKE

    BETHESDA, MD 208890001

    Phone: (301) 295-4455

    Fax: (301) 295-5063

    Type: Mailing

  • 300 W HOSPITAL RD

    FORT GORDON, GA 309055741

    Phone: (706) 787-1109

    Type: Location

  • 300 W Hospital Rd

    Fort Gordon, GA 309055741

    Phone: (706) 787-1109

    Type: Location

  • 948 NAPIERS POST DR

    EVANS, GA 308096428

    Phone: (717) 926-1759

    Type: Mailing

  • 3651 WHEELER RD DEPT OF

    AUGUSTA, GA 309096521

    Phone: (706) 651-3232

    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: 2022-06-23

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
I20220623001070IAnesthesiologyGATBD

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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2222$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1515$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1313$0
View full utilization report →

Insurance plans in this area (ZIP 20889)

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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: 6204905763View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What NPI should I save for DR. MICHAEL PHILLIP PENCE (D.O.)?
Save NPI 1114339728 if you need a stable reference for DR. MICHAEL PHILLIP PENCE (D.O.).
Is DR. MICHAEL PHILLIP PENCE (D.O.)'s NPI currently valid?
The extract we use shows DR. MICHAEL PHILLIP PENCE (D.O.) as active.
Does DR. MICHAEL PHILLIP PENCE (D.O.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. MICHAEL PHILLIP PENCE (D.O.). Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL PHILLIP PENCE (D.O.) practice in Maryland?
You will see Bethesda, Maryland on file for DR. MICHAEL PHILLIP PENCE (D.O.) alongside any extra practice locations.
What if Bethesda, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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