DR. JEFFREY ROBERT PENTEK D.P.M.
NPI 1124383583
Podiatrist - Sports Medicine in Bainbridge Island, WA

Q: What is Jeffrey Pentek's NPI number?

The NPI number for Jeffrey Pentek is 1124383583. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Q: What is Jeffrey Pentek's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Pentek was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment

1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110(206) 842-5632(206) 842-5992 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jeffrey Robert Pentek D.p.m. NPPES

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

DR. JEFFREY ROBERT PENTEK D.P.M. (NPI 1124383583) is an individual sports medicine provider in Bainbridge Island, Washington, licensed in Washington (PO60560146) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and maintains a secondary practice location in Farmington Hills.

NPPES Registry Identity

NPI1124383583

Entity TypeIndividualMale

Primary Taxonomy213ES0000X

Provider Legal NameDR. JEFFREY ROBERT PENTEKCredential: D.P.M.

Location Address1344 WINTERGREEN LN NEBainbridge Island, WA 98110

Mailing Address1344 Wintergreen Ln NeBainbridge Island, WA 98110-5118 · (206) 842-5632 · Fax (206) 842-5992

Phone(206) 842-5632

Fax(206) 842-5992

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 11, 2012

Last NPPES UpdateJune 18, 2018

✔ NPI 1124383583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0000X

License✔ Licensed in WA · PO60560146

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 5901002464 (MI)

1344 WINTERGREEN LN NE, Bainbridge Island, WA 98110

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Secondary Practice Location 1

Location 128050 Grand River AveFarmington Hills, MI 48336-5919 · Phone (248) 471-8822

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Jeffrey Robert Pentek D.p.m. 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 ID749595668

PECOS Enrollment IDI20150820011110

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Pentek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Mason Medical Center

Same address

Family Medicine

1344 WINTERGREEN LN NE
Bainbridge Island, WA 98110

Reassigned Medicare billing, Washington enrollment
1,021 clinicians in this Medicare group

NPI 1730237942 (206) 842-5632

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

210 services151 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

176 services153 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

137 services137 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

130 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

123 services123 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

107 services69 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

100 services11 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

84 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

75 services51 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

34 services16 patients

Injection of anesthetic and/or steroid drug into foot nerve 64455

This procedure involves injecting a combination of anesthetic and/or steroid medication into a nerve in your foot. It's designed to alleviate pain and inflammation. You may experience temporary numbness or relief in the treated area.

28 services14 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

27 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

18 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500005

Location925 Seneca StSeattle, WA 98101 · King County

Emergency services Birthing friendly

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500039

Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

1 supplier12 claims12 services$70.84 avg. paid by Medicare

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$120.79 avg. paid by Medicare

Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf L4397

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$126.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALEXIS JO CARLSON APRN

Nurse Practitioner (Family)