DR. JACOB PENNINGTON D.O.
NPI 1174915235
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Port Charlotte, FL

Q: What is Jacob Pennington's NPI number?

The NPI number for Jacob Pennington is 1174915235. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Q: What is Jacob Pennington's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Pennington was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 26, 2015PECOS EnrolledAccepts Medicare Assignment

86.06/100

CMS Quality Rating

1641 TAMIAMI TRL, PORT CHARLOTTE, FL 33948(941) 629-6262(941) 629-1782 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2023, May 6, 2020 (2 updates tracked since 2020).

On this page

About Dr. Jacob Pennington D.o. NPPES

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

DR. JACOB PENNINGTON D.O. (NPI 1174915235) is an individual adult reconstructive orthopaedic surgery provider in Port Charlotte, Florida, licensed in Florida (OS17460) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174915235

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. JACOB PENNINGTONCredential: D.O.

Location Address1641 TAMIAMI TRLPort Charlotte, FL 33948-1018

Mailing Address1641 Tamiami TrlPort Charlotte, FL 33948-1018 · (941) 629-6262 · Fax (941) 629-1782

Phone(941) 629-6262

Fax(941) 629-1782

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 26, 2015

Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration

NPPES CertifiedMarch 3, 2023

✔ NPI 1174915235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in FL · OS17460

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

1641 TAMIAMI TRL, Port Charlotte, FL 33948

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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. Jacob Pennington D.o. 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 ID2769805464

PECOS Enrollment IDI20210609000245

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 Jacob Pennington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Orthopedic Center Of Charlotte County, PA

Same address

Orthopaedic Surgery

1641 TAMIAMI TRL, SUITE 1
Port Charlotte, FL 33948

Reassigned Medicare billing, Florida enrollment
31 clinicians in this Medicare group

NPI 1639177579 (941) 629-6262

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 32

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.

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg J7328

Gelsyn-3 is a treatment involving injections of a substance called hyaluronan into the joint space. Hyaluronan is naturally present in healthy joint fluid, aiding in lubrication and shock absorption. This treatment helps relieve joint pain, often in conditions like osteoarthritis.

12,600 services18 patients

Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg J7332

Triluron is a treatment involving injections of a substance called hyaluronan into your joints. It helps to lubricate and cushion the joint, which can reduce pain and improve movement, especially in conditions like osteoarthritis. Each injection contains 1 mg of hyaluronan.

1,540 services23 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.

1,019 services259 patients

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

996 services11 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

574 services309 patients

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.

522 services376 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

334 services218 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

234 services147 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

230 services186 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.

228 services169 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

161 services125 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.

105 services105 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

62 services59 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.

62 services62 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

62 services15 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

60 services56 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

49 services45 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

47 services33 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

39 services36 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

34 services32 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

33 services29 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

29 services21 patients

Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T

This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.

24 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

X-ray of both hips, 2 views 73521

An X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.

19 services19 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

16 services16 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

16 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

16 services12 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

14 services14 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

12 services12 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

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.

86.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

55.36

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820

DME-Orthotic Devices · category DF011N

1 supplier26 claims28 services$95.70 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 16

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

JASON M MLNARIK DO

Orthopaedic Surgery

1641 TAMIAMI TRL, SUITE 1
PORT CHARLOTTE, FL 33948

Charlotte County (941) 629-6262

DR. STEVEN RAYMOND ANTHONY D.O.

Orthopaedic Surgery

1641 TAMIAMI TRL, SUITE 1
PORT CHARLOTTE, FL 33948

Charlotte County (941) 629-6262

AMANDA S. PUMILIA APRN

Nurse Practitioner

1641 TAMIAMI TRL
PORT CHARLOTTE, FL 33948

Charlotte County (419) 629-6262

ALYSSA GABRIELA FIGUEROA

Student in an Organized Health Care Education/Training Program

1641 TAMIAMI TRL
PORT CHARLOTTE, FL 33948

Charlotte County (941) 629-6262

NICHOLAS J CONNORS M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

1641 TAMIAMI TRL, SUITE 1
PORT CHARLOTTE, FL 33948

Charlotte County (941) 629-6262

ROBERT P STCHUR MD

Orthopaedic Surgery (Sports Medicine)

1641 TAMIAMI TRL, STE 1
PORT CHARLOTTE, FL 33948

Charlotte County (941) 629-6262

MARYANNA PIEKARSKI PA

Physician Assistant

1641 TAMIAMI TRL, SUITE 1
PORT CHARLOTTE, FL 33948

Charlotte County (941) 629-6262

KENDALL KAREN MAROTTI P.A.

Physician Assistant (Surgical)

1641 TAMIAMI TRL
PORT CHARLOTTE, FL 33948

Charlotte County (941) 629-6262

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 Jacob Pennington's NPI number?

The NPI number for Jacob Pennington is 1174915235. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Jacob Pennington located?

Jacob Pennington practices at 1641 Tamiami Trl, Port Charlotte, FL 33948. The listed phone number is (941) 629-6262.

What is Jacob Pennington's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Jacob Pennington enrolled in Medicare?

Yes. Jacob Pennington 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 Jacob Pennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Pennington reassigns Medicare benefits to Advanced Orthopedic Center Of Charlotte County, PA (Port Charlotte, FL). 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 Jacob Pennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Pennington accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Jacob Pennington 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 Jacob Pennington affiliated with any hospitals?

According to CMS data, Jacob Pennington is affiliated with Shorepoint Health Port Charlotte and Hca Florida Fawcett Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Pennington was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.