EDWARD BENJAMIN PENN JR. MD
NPI 1053474163
Otolaryngology in Greenville, SC
About Edward Benjamin Penn Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD BENJAMIN PENN JR. MD (NPI 1053474163) is an individual otolaryngology provider in Greenville, South Carolina, licensed in South Carolina (51723) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and maintains a secondary practice location in Seneca.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edward Benjamin Penn Jr. 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.
Medicare Billing Reassignment
Medicare enrollment records show Edward Penn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29607
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Prisma Health University Medical Group
- 3,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, SC 29615
GREENVILLE, SC 29615
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 Edward Penn's NPI number?
The NPI number for Edward Penn is 1053474163. It was assigned to this individual provider in the NPPES registry on December 19, 2006.
Where is Edward Penn located?
Edward Penn practices at 200 Patewood Dr Ste B400, Greenville, SC 29615. The listed phone number is (864) 522-8603.
What is Edward Penn's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Edward Penn enrolled in Medicare?
Yes. Edward Penn 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.
Which organization bills Medicare for Edward Penn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Penn reassigns Medicare benefits to Ghs Partners In Health, Inc. (Greenville, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Penn accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Edward Penn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Edward Penn affiliated with any hospitals?
According to CMS data, Edward Penn is affiliated with Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Edward Penn was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.
# Edward Benjamin Penn Jr., MD · NPI 1053474163
Otolaryngology physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since December 19, 2006.
## Identity
- **NPI:** 1053474163 (Entity type: Individual)
- **Enumerated:** December 19, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 51723 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 PATEWOOD DR STE B400, Greenville, SC 29615-6306
- **Phone:** (864) 522-8603
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ghs Partners In Health, Inc. (NPI 1235446337, Greenville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2006
## Record status
- **NPPES last updated:** September 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1053474163) · Data from the CMS NPPES public registry.