ERIC RYAN PENTON (MD) – General Practice Physician, NPI 1942837562

ERIC RYAN PENTON (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2023010859 (MO). The NPI Number for ERIC RYAN PENTON (MD) is 1942837562

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ERIC RYAN PENTON (MD)
NPI
1942837562
Phone
Not provided
Address
5542 DUCHESNE PARQUE DR
Enumeration Date
24 March 2020
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
4486077732
Group Practice PAC ID
5496669962
Professional Enrollment ID
I20230825001011
Address ID
MO650411547HE509XXBOXX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for ERIC RYAN PENTON (MD)

  • 5542 DUCHESNE PARQUE DR

    SAINT LOUIS, MO 631284175

    Phone:

    Type: Mailing

  • 2900 E 29TH ST STE 100

    BRYAN, TX 778022623

    Phone: (979) 436-0485

    Type: Location

  • 123 BAVARIAN HILLS PLZ

    HERMANN, MO 650411613

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $464.

Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($59).

Total Amount

$464

General + Research + Ownership

Payments

25

Total payment records

General Amount

$464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2023-08-25

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
I20230825001011IFamily PracticeMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63128)

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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: 5496669962View full group profile
NameSpecialtyState
Hospitalist, Family PracticeMO
Hospitalist, Internal MedicineWI
-MO
H O S P I T A L I S TMO
Clinical Social WorkerMO
Mental Health CounselorMO
Nurse PractitionerMO
Clinical Social WorkerMO
General SurgeryMO
Family PracticeMO

Reviews

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Frequently asked questions

What federal number belongs to ERIC RYAN PENTON (MD)?
The federal identifier for ERIC RYAN PENTON (MD) is NPI 1942837562.
Does this profile mean ERIC RYAN PENTON (MD) is currently active?
Yes — ERIC RYAN PENTON (MD) appears active in the national provider directory.
What kind of provider is ERIC RYAN PENTON (MD)?
The page reflects General Practice Physician for ERIC RYAN PENTON (MD). Clinical services aligned with this taxonomy classification.
Where is ERIC RYAN PENTON (MD)'s primary listing?
We display Saint Louis, Missouri because that is what the record indicates for ERIC RYAN PENTON (MD).
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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