Active NPI 1134536055 Individual Practitioner Female Practitioner

Jacquelyn Elise Pennie , PA

Physician Assistant • Dedham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacquelyn Pennie, PA is a certified Physician Assistant practicing in Dedham, MA. With approximately 12 years of clinical experience since completing medical education in 2014, Jacquelyn Pennie delivers high-quality medical care to the local community at 1 LYONS ST.

Jacquelyn Pennie is affiliated with Atrius Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of tissue from wound, 20.0 sq cm or less, established patient outpatient office visit, strapping, unna boot. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Lyons St

Dedham, MA 020265599

Telephone 5088800012

Associated Practice Facility / Clinic

🏢 Dedham Medical Associates Inc Facility NPI 1265430094

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dedham, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +2.7 yrs vs City Avg

City Avg: 9.3 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

18 Specialists

Practicing in Dedham, MA (4746 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pennie (12 Years) 12 Yrs

Dedham Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	132	47	$290.00	$96.91
99213 Established patient office or other outpatient visit, typically 15 minutes	53	32	$268.28	$84.32
29580 Strapping, unna boot	34	15	$282.71	$77.58
11042 Removal of skin and tissue, 20.0 sq cm or less	24	18	$375.00	$121.59
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	22	22	$740.00	$246.75
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$490.00	$97.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$350.32	$118.64
87075 Bacterial culture	16	12	$38.00	$9.28
87205 Special gram or giemsa stain for microorganism	16	12	$17.00	$4.18
36415 Insertion of needle into vein for collection of blood sample	14	13	$20.00	$8.65
87070 Bacterial culture	14	11	$35.00	$8.45
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	13	11	$446.00	$103.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	294	88	$290.00	$98.23
99213 Established patient office or other outpatient visit, typically 15 minutes	146	69	$263.07	$84.60
29580 Strapping, unna boot	95	34	$261.58	$76.08
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	57	29	$35.00	$8.48
87205 Special gram or giemsa stain for microorganism	56	37	$17.00	$4.18
87075 Bacterial culture	55	36	$38.00	$9.28
87077 Bacterial culture for aerobic isolates	48	25	$33.00	$7.92
87070 Bacterial culture	48	31	$35.00	$8.45
36415 Insertion of needle into vein for collection of blood sample	27	21	$16.44	$8.40
11042 Removal of skin and tissue, 20.0 sq cm or less	26	19	$375.00	$120.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$346.00	$119.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$346.00	$104.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$31.00	$7.61
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$490.00	$139.46
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	11	11	$14.00	$4.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	192	75	$276.46	$102.00
99213 Established patient office or other outpatient visit, typically 15 minutes	175	72	$238.00	$86.00
29580 Strapping, unna boot	77	23	$265.91	$78.37
11042 Removal of skin and tissue, 20.0 sq cm or less	64	34	$365.31	$128.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	25	$346.00	$121.29
36415 Insertion of needle into vein for collection of blood sample	26	16	$12.00	$2.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$346.00	$106.10
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	16	$490.00	$149.12
87205 Special gram or giemsa stain for microorganism	16	14	$17.00	$4.22
87070 Bacterial culture	15	13	$35.00	$8.53
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	12	$31.00	$7.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	166	67	$240.00	$100.84
99213 Established patient office or other outpatient visit, typically 15 minutes	87	49	$224.34	$86.76
29580 Strapping, unna boot	71	28	$231.69	$73.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	34	$135.19	$54.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$324.64	$107.41
36415 Insertion of needle into vein for collection of blood sample	21	19	$12.00	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$487.85	$159.43
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$463.33	$115.30
87205 Special gram or giemsa stain for microorganism	17	14	$17.00	$4.27
87070 Bacterial culture	14	12	$35.00	$8.62
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	14	14	$428.50	$123.38
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$694.17	$266.14
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$511.00	$152.64
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$31.00	$7.77

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	135	42	$300.00	$103.50
99213 Established patient office or other outpatient visit, typically 15 minutes	116	46	$202.00	$71.83
11042 Removal of skin and tissue, 20.0 sq cm or less	61	30	$313.00	$123.48
29580 Strapping, unna boot	49	18	$242.86	$70.49
97597 Removal of tissue from wound, 20.0 sq cm or less	33	17	$240.00	$96.13
87205 Special gram or giemsa stain for microorganism	20	18	$17.00	$4.25
87070 Bacterial culture	19	17	$35.00	$8.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$451.00	$156.37
36415 Insertion of needle into vein for collection of blood sample	14	11	$12.00	$2.97

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	17	14	$297.00	$102.06
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$202.00	$69.83

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	24	20	$271.00	$101.41
36415 Insertion of needle into vein for collection of blood sample	12	11	$7.00	$2.94

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	23	18	$203.00	$99.13
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$139.00	$67.62

Medical Specialties & State Licenses

CMS Verified: 2021-08-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA5064

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Atrius Health Inc

100 2nd Ave, Needham, MA 024942809

Phone: 7817264800

Atrius Health Inc

1 Lyons St, Dedham, MA 020265599

Phone: 7813291400

Practice Associates & Co-Workers

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

6 Associated Practitioners

Catherine Green

Physician Assistant

NPI 1063829620

Dr. Brett Stecker , DO

Family Medicine

NPI 1114097599

Doctor of Osteopathic Medicine (D.O.)

Alaina Annichiarico , PA-C

Physician Assistant

NPI 1134437544

Physician Assistant (Certified)

Charles Davis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144303595

Certified Registered Nurse Anesthetist

Brendan Ryan , PA-C

Physician Assistant

NPI 1396152187

Physician Assistant (Certified)

Dr. Yvonne Rizk , MD

Psychiatry & Neurology - Pain Medicine

NPI 1417968348

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 13, 2021

Registered at 1 LYONS ST, DEDHAM, MA 020265599 (Tel: 5088800012)

📍

Updated Business Mailing Address September 13, 2021

Registered at 1 LYONS STREET, ATRIUS HEALTH, INC, BOSTON, MA 02026 (Tel: 6176576495)

✅

NPI Profile Active November 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2016

Registered at 675 PARAMOUNT DR, SUITE 203, RAYNHAM, MA 027675416 (Tel: 5088800012)

📍

Updated Business Mailing Address November 04, 2016

Registered at 147 MILK STREET, HARVARD VANGUARD MEDICAL ASSOCIATES AT POS., BOSTON, MA 02109 (Tel: 6176547200)

👤

Provider Name / Credentials Updated November 04, 2016

Recorded as JACQUELYN PENNIE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2016

Physician Assistant (License #PA5064 in MA)

🟢

Initial NPI Registration & Enumeration July 14, 2014

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: 1134536055

Entity Type:

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

Enumeration Date: July 14, 2014

Last Update: September 13, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Lyons Street, Atrius Health, Inc

Boston, MA 02026

Phone: 6176576495

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.