DR. ALBERT DAVID PENNEY (M.D.) – Obstetrics & Gynecology Physician, NPI 1083680847

DR. ALBERT DAVID PENNEY (M.D.) is a healthcare provider. based in Brookfield, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 45953 (WI). The NPI Number for DR. ALBERT DAVID PENNEY (M.D.) is 1083680847

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALBERT DAVID PENNEY (M.D.)
NPI
1083680847
Phone
(262) 754-8000
Address
17280 W NORTH AVE
Enumeration Date
23 February 2006
Last Update Date
10 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9069322525
Graduation Year
1999 (27 years ago)
PAC ID
2961305404
Group Practice PAC ID
9032013198
Professional Enrollment ID
I20180213002198
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

798 OBSTETRICS/GYNECOLOGY in WI

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Provider Addresses for DR. ALBERT DAVID PENNEY (M.D.)

  • 17280, West North Avenue, Brookfield, Waukesha County, Wisconsin, 53005, United States

    SUITE 200

    BROOKFIELD, WI 530454366

    Phone: (262) 754-8000

    Fax: (262) 754-8008

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Organon LLC ($36).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$36
View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040130000805IObstetrics/GynecologyWITBD
I20230801003558IObstetrics/GynecologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53045)

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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: 9032013198View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
Internal Medicine, Pediatric MedicineMI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Nurse Midwife (Cnm)MI
U R O L O G YCO
Neurology, Internal MedicineMI
Nurse PractitionerMI
-MI
-MI

Reviews

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Frequently asked questions

Can I cross-check DR. ALBERT DAVID PENNEY (M.D.) using NPI 1083680847?
NPI 1083680847 belongs to DR. ALBERT DAVID PENNEY (M.D.); compare other details if you need extra assurance.
Would DR. ALBERT DAVID PENNEY (M.D.) appear as active to a payer?
You can treat DR. ALBERT DAVID PENNEY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. ALBERT DAVID PENNEY (M.D.)?
At a glance, DR. ALBERT DAVID PENNEY (M.D.) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ALBERT DAVID PENNEY (M.D.)?
Directory geography for DR. ALBERT DAVID PENNEY (M.D.) centers on Brookfield, Wisconsin.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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