DR. JON FREDRICK PENNYCUFF MD NPI 1568889756

NPI Information

  • NPI: 1568889756
  • Provider Name: DR. JON FREDRICK PENNYCUFF, MD
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 202 S PARK ST
    MADISON, WI
    ZIP 53715
  • Phone: (608) 263-6240

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NPI Details

DR. Jon Fredrick Pennycuff, MD is an urogynecology and reconstructive pelvic surgery in Madison, WI with 12 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Jon Fredrick Pennycuff, MD NPI is 1568889756. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

202 S PARK ST
MADISON, WI
ZIP 53715-507
Phone: (608) 263-6240

The NPI 1568889756 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)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Creation of sling around urethra in female to control leakage (HCPCS:57288)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complex measurement of pressure of urine flow in bladder with voiding pressure studies (HCPCS:51728)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of prolapsing vaginal vault through vagina (HCPCS:57283)

The enumeration date for this NPI number is 3/25/2014 and was last updated on 9/22/2021.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery75417-20WISCONSINYes
3207V00000XObstetrics & GynecologyMD046440DISTRICT OF COLUMBIANo

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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