BRUCE L. PENNINGTON (M.D.) – Diagnostic Radiology Physician, NPI 1396785424
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
1,805 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for BRUCE L. PENNINGTON (M.D.)
90 JACKSON PIKE
GALLIPOLIS, OH 456311560
Phone: (740) 446-5289
Fax: (740) 446-5697
Type: Mailing
Holzer Medical Center, 100, Jackson Pike, Mills Village, Gallipolis, Green Township, Gallia County, Ohio, 45631, United States
GALLIPOLIS, OH 456311560
Phone: (740) 446-5289
Fax: (740) 446-5697
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.
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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: 2007-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040928001159 | I | Diagnostic Radiology | WV | TBD |
| I20070801000827 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 233 | 230 | $0 |
| 73562 | X-ray of knee, 3 views | 90 | 82 | $0 |
| 70450 | Ct scan head or brain without contrast | 89 | 86 | $0 |
| 71045 | X-ray of chest, 1 view | 88 | 82 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 81 | 72 | $0 |
Insurance plans in this area (ZIP 45631)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OH | 71250 | CT scan chest | 63 | 61 |
| DIAGNOSTIC RADIOLOGY | OH | 73110 | X-ray of wrist, minimum of 3 views | 35 | 32 |
| DIAGNOSTIC RADIOLOGY | OH | 73562 | X-ray of knee, 3 views | 131 | 109 |
| DIAGNOSTIC RADIOLOGY | OH | 73630 | X-ray of foot, minimum of 3 views | 39 | 36 |
| DIAGNOSTIC RADIOLOGY | OH | 74177 | CT scan of abdomen and pelvis with contrast | 116 | 112 |
| DIAGNOSTIC RADIOLOGY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 52 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | KY | |
| - | OH | |
| Internal Medicine | WV | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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