DR. DAVID EUGENE PENNER (MD) – Child & Adolescent Psychiatry Physician, NPI 1114005584

DR. DAVID EUGENE PENNER (MD) is a healthcare provider. based in Olympia, Washington. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 228522 (MA). The NPI Number for DR. DAVID EUGENE PENNER (MD) is 1114005584

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID EUGENE PENNER (MD)
NPI
1114005584
Phone
(360) 539-1736
Address
PO BOX 23
Enumeration Date
1 November 2006
Last Update Date
17 May 2020

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3605391736
Graduation Year
2006 (20 years ago)
PAC ID
3375602055
Group Practice PAC ID
6507246956
Professional Enrollment ID
I20191029003445
Address ID
WA985024310OL1801XNWXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

710 PSYCHIATRY in WA

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Provider Addresses for DR. DAVID EUGENE PENNER (MD)

  • PO BOX 23

    OLYMPIA, WA 985070023

    Phone: (360) 539-1736

    Fax: (360) 350-5610

    Type: Mailing

  • West Bay Drive Northwest, Olympia, Thurston County, Washington, 98504, United States

    OLYMPIA, WA 985024310

    Phone: (360) 539-1736

    Fax: (360) 350-5610

    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: 2019-10-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191029003445IPsychiatryWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90868Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management71725$0
99213Established patient office or other outpatient visit, 20-29 minutes2818$0
90867Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management1918$0
View full utilization report →

Insurance plans in this area (ZIP 98507)

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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: 6507246956View full group profile
NameSpecialtyState
Physician AssistantWA

Reviews

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Frequently asked questions

Is DR. DAVID EUGENE PENNER (MD) listed with a National Provider Identifier?
Yes — DR. DAVID EUGENE PENNER (MD) has NPI 1114005584 on file in the registry.
Is there an active status for DR. DAVID EUGENE PENNER (MD)?
For scheduling context, DR. DAVID EUGENE PENNER (MD) is shown as active in the registry.
What clinical focus is listed for DR. DAVID EUGENE PENNER (MD)?
At a glance, DR. DAVID EUGENE PENNER (MD) is tied to Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. DAVID EUGENE PENNER (MD) associated with Olympia?
Public fields place DR. DAVID EUGENE PENNER (MD) around Olympia, Washington. Always confirm the exact site before visiting.
Does DR. DAVID EUGENE PENNER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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