DR. MARK R PENNINGTON (M.D.) – Diagnostic Radiology Physician, NPI 1275525958

DR. MARK R PENNINGTON (M.D.) is a healthcare provider. based in Muskegon, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 43010058239 (MI). The NPI Number for DR. MARK R PENNINGTON (M.D.) is 1275525958

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK R PENNINGTON (M.D.)
NPI
1275525958
Phone
(231) 722-6005
Address
605 W WESTERN AVE
Enumeration Date
18 August 2005
Last Update Date
12 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2317284948
Graduation Year
1987 (39 years ago)
PAC ID
9739089582
Group Practice PAC ID
1355241191
Professional Enrollment ID
I20110217000382
Address ID
MI494425502MU1700XSTXX300
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

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DR. MARK R PENNINGTON (M.D.)

  • 605, West Western Avenue, Muskegon, Muskegon County, Michigan, 49440, United States

    P.O. BOX 208

    MUSKEGON, MI 494401080

    Phone: (231) 722-6005

    Fax: (231) 726-2804

    Type: Mailing

  • Mercy Health Hackley Campus, 1700, Clinton Street, Muskegon, Muskegon County, Michigan, 49444, United States

    RADIOLOGY DEPARTMENT

    MUSKEGON, MI 494425502

    Phone: (231) 728-4818

    Fax: (231) 728-4622

    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: 2011-02-17

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
I20110217000382IDiagnostic RadiologyMITBD

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
71046X-ray of chest, 2 views8888$0
71045X-ray of chest, 1 view7369$0
70450Ct scan head or brain without contrast4545$0
77067Screening mammography4040$0
76705Limited ultrasound scan of abdomen3333$0
View full utilization report →

Insurance plans in this area (ZIP 49440)

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Provider's Procedures

DR. MARK R PENNINGTON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71250CT scan chest2121
DIAGNOSTIC RADIOLOGYMI73562X-ray of knee, 3 views2322
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views7168
DIAGNOSTIC RADIOLOGYMI76830Ultrasound pelvis through vagina1616
DIAGNOSTIC RADIOLOGYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers136135

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: 1355241191View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyIN
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Physician AssistantMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyTX
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

What is DR. MARK R PENNINGTON (M.D.)'s NPI number?
DR. MARK R PENNINGTON (M.D.)'s NPI is 1275525958 — the number used across U.S. healthcare to identify this provider.
Is DR. MARK R PENNINGTON (M.D.) still an active registrant?
DR. MARK R PENNINGTON (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. MARK R PENNINGTON (M.D.)?
DR. MARK R PENNINGTON (M.D.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK R PENNINGTON (M.D.)?
Directory geography for DR. MARK R PENNINGTON (M.D.) centers on Muskegon, Michigan.
Does DR. MARK R PENNINGTON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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