KEVIN PENN (MD) – Student in an Organized Health Care Education/Training Program, NPI 1558773937
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
146 GENERAL SURGERY in MT
Provider Addresses for KEVIN PENN (MD)
1811 26TH AVE S UNIT B
SEATTLE, WA 981444715
Phone: (970) 978-8595
Type: Mailing
123 S 27TH ST
BILLINGS, MT 591014227
Phone: (406) 247-3350
Fax: (406) 247-3389
Type: Mailing
925 SENECA ST
SEATTLE, WA 981012742
Phone: (206) 583-6079
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: 2023-01-06
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 |
|---|---|---|---|---|
| I20230106000022 | I | General Surgery | CO | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,166 | 313 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 314 | 173 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 269 | 121 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 153 | 17 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 125 | 125 | $0 |
Insurance plans in this area (ZIP 98144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| General Surgery, General Practice | CO | |
| General Practice, General Surgery, General Practice | FL | |
| Family Practice | CO | |
| - | OR | |
| P O D I A T R Y | CO | |
| Internal Medicine | TX | |
| Physician Assistant | WA | |
| General Surgery | WA | |
| U R O L O G Y | CO |
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