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Deactivated NPI 1184672537 Deactivated / Inactive NPI Male Practitioner

Dr. John Penrose , MD

Emergency Medicine • Clinton, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Penrose has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 05, 2006
NPI Deactivation Date March 15, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Penrose, MD was a registered Emergency Medicine practicing in Clinton, NC. Throughout an active medical career spanning 17 years, Dr. Penrose provided care at the practice location at 607 BEAMAN ST until profile deactivation on 2023-03-15.

Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

607 Beaman St

Clinton, NC 283282603

Telephone 8002914020
Fax 9194197247
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Clinton, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Clinton, NC (2150 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.0% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
340 322 $1961.33 $174.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
269 250 $97.54 $8.11
99284 Emergency department visit with moderate level of medical decision making
84 82 $1290.02 $120.71
99291 Critical care, first 30-74 minutes
72 70 $2508.19 $214.60
99283 Emergency department visit with low level of medical decision making
29 29 $722.38 $71.48

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NC 200400569

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. David Neilsen , MD

Emergency Medicine

NPI 1023076270

Doctor of Medicine (M.D.)

James Hartley

Emergency Medicine

NPI 1033157177
Dr. David Carver , MD

Emergency Medicine

NPI 1043263718

Doctor of Medicine (M.D.)

Dr. Lane Hartt , MD

Emergency Medicine

NPI 1073566063

Doctor of Medicine (M.D.)

Stephanie Fisher , PA

Physician Assistant

NPI 1073569950

Physician Assistant

Mark Marquardt

Emergency Medicine

NPI 1083658660

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 15, 2023

Record deactivated on March 15, 2023

NPI Profile Active January 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 04, 2010

Registered at 607 BEAMAN ST, CLINTON, NC 283282603 (Tel: 8002914020)

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Updated Business Mailing Address January 04, 2010

Registered at 3211 SHANNON RD, SUITE 300, DURHAM, NC 277076322 (Tel: 8002914020)

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Provider Name / Credentials Updated January 04, 2010

Recorded as JOHN PENROSE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2010

Emergency Medicine (License #200400569 in NC)

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Initial NPI Registration & Enumeration May 05, 2006

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: 1184672537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: January 04, 2010
Deactivation Date: March 15, 2023

Mailing Address

3211 Shannon Rd, Suite 300

Durham, NC 277076322

Phone: 8002914020

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.