JACKSON W PENRY MD
NPI 1003055401
Radiology - Diagnostic Radiology in Mission Viejo, CA

Active since February 10, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
27700 MEDICAL CENTER ROAD-RADIOLOGY DEPARTMENT, MISSION VIEJO, CA 92691(949) 364-7744 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson W Penry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON W PENRY MD (NPI 1003055401) is an individual diagnostic radiology provider in Mission Viejo, California, licensed in California (A114302) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2006).

NPPES Registry Identity

NPI1003055401
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACKSON W PENRYCredential: MD
Location Address27700 MEDICAL CENTER ROAD-RADIOLOGY DEPARTMENTMission Viejo, CA 92691-6426
Mailing AddressDept La 21789Pasadena, CA 91185-1789 · (949) 263-8620 · Fax (800) 409-7005
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2006
Enumeration DateFebruary 10, 2009
Last NPPES UpdateJuly 29, 2014
NPI 1003055401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A114302
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
27700 MEDICAL CENTER ROAD-RADIOLOGY DEPARTMENT, Mission Viejo, CA 92691

Other Identifiers 5

Medicaid1003055401CA
Medicare PINEZ237ZCA
Other00A1143020CA · Bs/bc Of Ca
Medicare PINEZ237YCA
Medicaid0A1143020CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jackson W Penry Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517144298
PECOS Enrollment IDI20110606000608
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 62

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
11,400 services78 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,301 services68 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
414 services384 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
319 services303 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
148 services144 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
81 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Penry's NPI number?

The NPI number for Jackson Penry is 1003055401. It was assigned to this individual provider in the NPPES registry on February 10, 2009.

Where is Jackson Penry located?

Jackson Penry practices at 27700 Medical Center Road-Radiology Department, Mission Viejo, CA 92691. The listed phone number is (949) 364-7744.

What is Jackson Penry's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jackson Penry enrolled in Medicare?

Yes. Jackson Penry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jackson Penry was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.