GERALD MELVILLE PENN (M.D., PHD) – Dermatopathology (Pathology) Physician, NPI 1073598132

Dermatopathology (Pathology) Physician

GERALD MELVILLE PENN (M.D., PHD) is a healthcare provider. based in Dublin, Ohio. specializing in Dermatopathology (Pathology) Physician. They hold the professional credentials M.D., PHD. They hold a License No. 35027499 (OH). The NPI Number for GERALD MELVILLE PENN (M.D., PHD) is 1073598132

Main info

Male

62 Years Of Experience

Accepts Medicare Assignment

Name

GERALD MELVILLE PENN (M.D., PHD)

NPI

1073598132

Phone

(614) 764-1711

Address

650 SHAWAN FALLS DR

Enumeration Date

13 December 2005

Last Update Date

25 March 2008

Doctor Profile

Medical School Name

OHIO STATE UNIVERSITY COLLEGE OF MEDICINE

Secondary Phone

6147641711

Graduation Year

1964 (62 years ago)

PAC ID

0749345031

Group Practice PAC ID

7012993777

Professional Enrollment ID

I20090220000253

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 GERALD MELVILLE PENN (M.D., PHD)

650, Shawan Falls Drive, Dublin High Street Historic District, Dublin, Franklin, Ohio, 43017, United States
DUBLIN, OH 430172100
Phone: (614) 764-1711
Fax: (614) 889-2652
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.

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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.

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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 43017)

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Provider's Procedures

GERALD MELVILLE PENN (M.D., PHD) performs procedures in Dermatopathology (Pathology) Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PATHOLOGY	OH	88304	Pathology examination of tissue using a microscope, moderately low complexity	27	26
PATHOLOGY	OH	88342	Tissue or cell analysis by immunologic technique	36	24

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: 7012993777View full group profile

Name	Specialty	State
AMY L NUTTING (P.A.)	Physician Assistant	OH
MRS. SARAH A. LANDIS (P.A.)	Physician Assistant	OH
BRETT ROBERT KOCKENTIET (MD)	Micrographic Dermatologic Surgery (Mds)	OH
KATHRYN TLOCZYNSKI (NP)	Nurse Practitioner	OH
LAURA L TAYLOR (APRN-CNP)	Nurse Practitioner	OH
DR. DWIGHT A SCARBOROUGH (M.D.)	D E R M A T O L O G Y	OH

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Frequently asked questions

Can I cross-check GERALD MELVILLE PENN (M.D., PHD) using NPI 1073598132?

NPI 1073598132 belongs to GERALD MELVILLE PENN (M.D., PHD); compare other details if you need extra assurance.

Would GERALD MELVILLE PENN (M.D., PHD) appear as active to a payer?

You can treat GERALD MELVILLE PENN (M.D., PHD) as active for directory purposes; confirm clinical privileges separately.

What clinical focus is listed for GERALD MELVILLE PENN (M.D., PHD)?

At a glance, GERALD MELVILLE PENN (M.D., PHD) is tied to Dermatopathology (Pathology) Physician. Clinical services aligned with this taxonomy classification.

Is GERALD MELVILLE PENN (M.D., PHD) located near Dublin?

GERALD MELVILLE PENN (M.D., PHD) currently maps to Dublin, Ohio in this extract.

Does GERALD MELVILLE PENN (M.D., PHD) accept insurance?

Insurance participation is not part of the core NPI extract — call the plan or office to confirm.