MARY JANE PENNINGTON (MD) – Pediatrics Physician, NPI 1205868452
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
279 PEDIATRIC MEDICINE in UT
Provider Addresses for MARY JANE PENNINGTON (MD)
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
4100 West, Country Meadows, West Valley City, Salt Lake County, Utah, 84120, United States
WEST VALLEY CITY, UT 84120
Phone: (801) 965-3600
Fax: (801) 965-3526
Type: Mailing
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: 2006-12-07
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 |
|---|---|---|---|---|
| I20061207000281 | I | Pediatric Medicine | UT | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 19,591 | 193 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 17,425 | 143 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 8,605 | 5,392 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 5,714 | 4,358 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 4,365 | 3,267 | $0 |
Insurance plans in this area (ZIP 84119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | UT | |
| Internal Medicine | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Family Practice | UT |
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