JEFFREY PENNY – Family Nurse Practitioner, NPI 1124471545
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for JEFFREY PENNY
2222 Philadelphia Dr
Dayton, OH 454061813
Phone: (937) 734-2612
Type: Location
6700 Commerce Center Dr
Dayton, OH 454142672
Phone: (937) 208-6875
Fax: (937) 208-6878
Type: Location
1130 S Main St
Englewood, OH 453222819
Phone: (937) 208-6879
Fax: (937) 208-6886
Type: Location
1843 W Main St
Troy, OH 453732303
Phone: (937) 208-4120
Fax: (937) 208-4126
Type: Location
8 Prestige Plaza Dr Ste 107
Miamisburg, OH 453427304
Phone: (937) 208-6871
Fax: (937) 208-6874
Type: Location
3170 KETTERING BLVD BLDG B3
MORAINE, OH 454391924
Phone: (937) 991-3186
Type: Mailing
752 N Main St
Springboro, OH 450668944
Phone: (937) 208-6865
Fax: (937) 208-6868
Type: Location
Old Troy Pike, Huber Heights, Miami County, Ohio, 45424, United States
HUBER HEIGHTS, OH 45424
Phone: (937) 208-4100
Fax: (937) 208-4107
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: 2016-12-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161209001678 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 126 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 78 | 78 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 53 | 14 | $0 |
| 71045 | X-ray of chest, 1 view | 27 | 26 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 25 | 25 | $0 |
Insurance plans in this area (ZIP 45406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | NY | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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