Active NPI 1891784724 Individual Practitioner Male Practitioner

Dr. Paige Koenig Pennebacker , MD

Surgery • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Paige Pennebacker, MD is a registered healthcare professional specializing in Surgery in Bradenton, FL. Practice services are available at 315 75TH ST W under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of breast and placement of locating device using ultrasound, first growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

315 75th St W

Bradenton, FL 342093201

Telephone 9417610500

Fax 8555212857

Associated Practice Facility / Clinic

🏢 Pinnacle Medical Group Pa Facility NPI 1316963077

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bradenton, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.7 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

22 Specialists

Practicing in Bradenton, FL (2030 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	50	$225.00	$109.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$358.00	$166.71
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	20	20	$615.00	$167.30
38900 Lymph node imaging during surgery	13	13	$527.00	$158.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1582.00	$244.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	132	$225.00	$107.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$358.00	$164.16
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$153.00	$73.48
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	34	34	$615.00	$164.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1582.00	$262.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$153.00	$73.27
38900 Lymph node imaging during surgery	16	16	$527.00	$148.31
47562 Removal of gallbladder using an endoscope	15	15	$2750.00	$638.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$303.00	$139.36
19303 Total removal of breast	13	13	$3675.00	$992.51
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1335.00	$324.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	160	$174.28	$106.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$270.37	$164.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$221.22	$137.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$63.12	$39.59
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$872.03	$229.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$134.63	$73.27
19081 Biopsy of breast accessed through the skin with stereotactic guidance	18	18	$289.01	$174.48
47562 Removal of gallbladder using an endoscope	17	17	$1451.89	$658.67
49505 Repair of groin hernia (5 years or older)	17	17	$892.69	$530.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$242.46	$144.01
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	17	$300.12	$159.00
19301 Partial removal of breast	16	15	$1370.14	$384.84
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$118.52	$72.30
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	14	$1762.27	$906.31
19303 Total removal of breast	14	14	$1967.86	$976.79
G0180 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	11	11	$80.25	$53.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	177	$161.21	$103.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	202	202	$248.64	$159.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	40	$60.00	$38.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	59	$208.62	$134.86
99213 Established patient office or other outpatient visit, typically 15 minutes	53	50	$109.11	$70.66
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	33	33	$249.79	$163.95
G0180 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	20	17	$80.25	$51.96
49505 Repair of groin hernia (5 years or older)	20	20	$829.92	$534.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$563.71	$316.91
47562 Removal of gallbladder using an endoscope	19	19	$1052.47	$624.57
19081 Biopsy of breast accessed through the skin with stereotactic guidance	18	18	$267.13	$171.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$109.37	$70.80
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$694.54	$230.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$64.70	$41.96
19301 Partial removal of breast	14	14	$1037.52	$449.56
49568 Placement of mesh to repair incisional or abdominal hernia	14	14	$432.82	$279.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$169.82	$105.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME62365

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Rajesh Malik , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1871551630

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location October 03, 2018

Registered at 315 75TH ST W, BRADENTON, FL 342093201 (Tel: 9417610500)

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 5953 17TH AVE W, BRADENTON, FL 342097836 (Tel: 9417468127)

📍

Updated Business Mailing Address January 24, 2018

Registered at PO BOX 14731, BRADENTON, FL 342804731 (Tel: 9417610500)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as PAIGE PENNEBACKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Surgery (License #ME62365 in FL)

✅

NPI Profile Active March 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2014

Registered at 5953 17TH AVE W, BRADENTON, FL 342097836 (Tel: 9417468127)

📍

Updated Business Mailing Address March 03, 2014

Registered at PO BOX 14731, BRADENTON, FL 342804731 (Tel: 9417468127)

👤

Provider Name / Credentials Updated March 03, 2014

Recorded as PAIGE PENNEBACKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2014

Surgery (License #ME62365 in FL)

🟢

Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891784724

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 13, 2005

Last Update: October 03, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 14731

Bradenton, FL 342804731

Phone: 9417610500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.