GORDON E PENNEBAKER MD NPI 1366494197

NPI Information

  • NPI: 1366494197
  • Provider Name: GORDON E PENNEBAKER, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1344 HAILE ST
    CAMDEN, SC
    ZIP 29020
  • Phone: (803) 432-1996

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NPI Details

Gordon E Pennebaker, MD is a family medicine in Camden, SC with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gordon E Pennebaker, MD NPI is 1366494197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1344 HAILE ST
CAMDEN, SC
ZIP 29020-076
Phone: (803) 432-1996
Fax: (803) 424-2703

The NPI 1366494197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Administration of vaccine (HCPCS:90471)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Heart rhythm recording of continous external ekg over 8-15 days (HCPCS:93246)
  • Removal of impacted ear wax (HCPCS:69210)
  • Vitamin d-3 level (HCPCS:82306)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Heart rhythm recording continous external ekg over more than 48 hours up to 7 days (HCPCS:93242)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Administration of vaccine, each additional vaccine (HCPCS:90472)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine18265SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F91990MEDICARE UPIN
2F919905378MEDICARE PINSOUTH CAROLINA
3182652MEDICAIDSOUTH CAROLINA
4080181551OTHERSOUTH CAROLINARAILROAD MEDICARE PIN
5B5656OTHERMEDCOST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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