MARVIN DEAN PENNINGTON PA NPI 1972534683

NPI Details

Marvin Dean Pennington, PA is a surgical physician assistant in Tyler, TX with 27 years of experience. Marvin Dean Pennington, PA NPI is 1972534683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3414 GOLDEN RD
TYLER, TX
ZIP 75701-336
Phone: (903) 939-7500
Fax: (800) 248-0426

The NPI 1972534683 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.

• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Fusion of additional segment of spine (HCPCS:22614)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
• Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• Fusion of spine in lower back (HCPCS:22612)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
• Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
• Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
• Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
• Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
• Placement of stabilizing device to front, 4-7 spine bone segments (HCPCS:22846)
• Fusion of additional segment of spine with partial removal of spine bone and disc (HCPCS:22634)
• Placement of stabilizing device to front, 2-3 spine bone segments (HCPCS:22845)
• Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63053)
• X-ray of middle spine, 2 views (HCPCS:72070)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Spinal fusion (HCPCS:NAN02)
• Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 5/19/2024.

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: