DR. MARLENE PENG (MD) – Allergy Physician, NPI 1770697112

DR. MARLENE PENG (MD) is a healthcare provider. based in Seattle, Washington. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD60102678 (WA). The NPI Number for DR. MARLENE PENG (MD) is 1770697112

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARLENE PENG (MD)
NPI
1770697112
Phone
(206) 386-9500
Address
515 MINOR AVE
Enumeration Date
19 August 2006
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
4253941650425394
Graduation Year
2002 (24 years ago)
PAC ID
9638231707
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20091201000115
Address ID
WA980043749BE1200XNEXX402
Telehealth
Yes

Contacts

Secure Messaging
mpeng1042918@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

94 ALLERGY/IMMUNOLOGY in WA

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Provider Addresses for DR. MARLENE PENG (MD)

  • 515, Minor Avenue, First Hill, Seattle, King County, Washington, 98104, United States

    SEATTLE, WA 981042120

    Phone: (206) 386-9500

    Fax: (206) 576-3802

    Mailing address matches the actual address.

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: 2009-12-01

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
I20091201000115IAllergy/ImmunologyWATBD

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
95004Test for allergy using allergenic extract1,04031$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99214Established patient office or other outpatient visit, 30-39 minutes2719$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 98104)

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Provider's Procedures

DR. MARLENE PENG (MD) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYWA95004Injection of allergenic extracts into skin, accessed through the skin76523

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: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

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Frequently asked questions

What identifier follows DR. MARLENE PENG (MD) across health systems?
The NPI 1770697112 uniquely identifies DR. MARLENE PENG (MD) in U.S. healthcare data.
Does the public listing show DR. MARLENE PENG (MD) as active?
DR. MARLENE PENG (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MARLENE PENG (MD)'s specialty?
The extract shows Allergy Physician for DR. MARLENE PENG (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARLENE PENG (MD)?
DR. MARLENE PENG (MD) shows a connection to Seattle, Washington in registry-derived data.
Who maintains DR. MARLENE PENG (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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