JASON PENNYPACKER – Diagnostic Radiology Physician, NPI 1154533313
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for JASON PENNYPACKER
629D LOWTHER RD
SUITE 3950
LEWISBERRY, PA 173399527
Phone: (717) 932-5200
Type: Location
1304 Fawcett Ave Ste 100
Tacoma, WA 984021900
Phone: (253) 761-4200
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: 2014-01-24
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 |
|---|---|---|---|---|
| I20140124001177 | I | Diagnostic Radiology | PA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 665 | 610 | $0 |
| 70450 | Ct scan head or brain without contrast | 356 | 346 | $0 |
| 71046 | X-ray of chest, 2 views | 300 | 296 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 225 | 222 | $0 |
| 71250 | Ct scan of chest without contrast | 193 | 192 | $0 |
Insurance plans in this area (ZIP 17339)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | PA | 71010 | X-ray of chest, 1 view, front | 19 | 18 |
| INTERVENTIONAL RADIOLOGY | PA | 71250 | CT scan chest | 73 | 73 |
| INTERVENTIONAL RADIOLOGY | PA | 73110 | X-ray of wrist, minimum of 3 views | 20 | 18 |
| INTERVENTIONAL RADIOLOGY | PA | 73630 | X-ray of foot, minimum of 3 views | 33 | 31 |
| INTERVENTIONAL RADIOLOGY | PA | 74177 | CT scan of abdomen and pelvis with contrast | 15 | 15 |
| INTERVENTIONAL RADIOLOGY | PA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | HI |
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