TIMOTHY J PENN MD
NPI 1124003439
Orthopaedic Surgery in Glen Carbon, IL

Active since December 08, 2005
74.42/100
CMS Quality Rating
4802 S STATE ROUTE 159, GLEN CARBON, IL 62034(618) 288-4388(618) 288-4927 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy J Penn Md NPPES

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

TIMOTHY J PENN MD (NPI 1124003439) is an individual orthopaedic surgery provider in Glen Carbon, Illinois, licensed in Illinois (036092240) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1124003439
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTIMOTHY J PENNCredential: MD
Location Address4802 S STATE ROUTE 159Glen Carbon, IL 62034-1904
Mailing Address4802 S State Route 159Glen Carbon, IL 62034-1904 · (618) 288-4388 · Fax (618) 288-4927
Fax(618) 288-4927
Sole ProprietorNo
Enumeration DateDecember 8, 2005
Last NPPES UpdateFebruary 3, 2015
NPI 1124003439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036092240
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4802 S STATE ROUTE 159, Glen Carbon, IL 62034

Other Identifiers 3

Medicare UPINF44766IL
Medicaid036092240IL
Medicare ID-Type UnspecifiedK16477IL

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Physical Therapist
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Orthopaedic Surgery
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Physician Assistant (Surgical)
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Orthopaedic Surgery
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Orthopaedic Surgery
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Occupational Therapist (Hand)
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034
Specialist/Technologist (Athletic Trainer)
4802 S STATE ROUTE 159
GLEN CARBON, IL 62034

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 Timothy Penn's NPI number?

The NPI number for Timothy Penn is 1124003439. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Timothy Penn located?

Timothy Penn practices at 4802 S State Route 159, Glen Carbon, IL 62034. The listed phone number is (618) 288-4388.

What is Timothy Penn's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Timothy Penn was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.