Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDWARD BENJAMIN PENN JR. MD
NPI 1053474163
Otolaryngology in Greenville, SC

Q: 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.

Q: What is Edward Penn's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: 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 12 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.

Active since December 19, 2006PECOS Enrolled

200 PATEWOOD DR STE B400, GREENVILLE, SC 29615(864) 522-8603 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 16, 2026, Jun 1, 2026, Aug 18, 2023 and 3 more (6 updates tracked since 2017).

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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

NPI1053474163

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameEDWARD BENJAMIN PENN JR.Credential: MD

Location Address200 PATEWOOD DR STE B400Greenville, SC 29615-6306

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 522-8603

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2006

Enumeration DateDecember 19, 2006

Last NPPES UpdateSeptember 16, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1053474163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in SC · 51723

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 51723 (SC)

200 PATEWOOD DR STE B400, Greenville, SC 29615

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Secondary Practice Location 1

Location 1105 Carter Park Dr Ste BSeneca, SC 29678-1152 · Phone (864) 482-3122 · Fax (864) 482-3152

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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

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.

PECOS PAC ID3971759416

PECOS Enrollment IDI20171227000004

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.

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, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician 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.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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.

LAURA CAITLYN GILLEN PA-C

Physician Assistant