MARY JANE PENNINGTON MD
NPI 1205868452
Pediatrics in West Valley City, UT

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
2965 W 3500 S, WEST VALLEY CITY, UT 84119(801) 965-3600 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jane Pennington Md NPPES

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

MARY JANE PENNINGTON MD (NPI 1205868452) is an individual pediatrics provider in West Valley City, Utah, licensed in Utah (1750881205) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1985).

NPPES Registry Identity

NPI1205868452
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY JANE PENNINGTONCredential: MD
Location Address2965 W 3500 SWest Valley City, UT 84119-3602
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1985
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
NPI 1205868452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in UT · 1750881205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2965 W 3500 S, West Valley City, UT 84119

Accepted 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

Mary Jane Pennington 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 ID4486566619
PECOS Enrollment IDI20061207000281
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.

Areas of Expertise CMS Part B claims 98

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
27,950 services153 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
8,142 services5,292 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
5,419 services4,170 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
5,400 services54 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
4,081 services3,137 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
3,623 services3,330 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84119 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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.

Family Medicine
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Podiatrist
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Nurse Practitioner
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Family Medicine
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Psychiatry & Neurology (Neurology)
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Physician Assistant (Medical)
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Family Medicine
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Nurse Practitioner (Family)
2965 W 3500 S
WEST VALLEY, UT 84119

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 Mary Jane Pennington's NPI number?

The NPI number for Mary Jane Pennington is 1205868452. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mary Jane Pennington located?

Mary Jane Pennington practices at 2965 W 3500 S, West Valley City, UT 84119. The listed phone number is (801) 965-3600.

What is Mary Jane Pennington's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Jane Pennington enrolled in Medicare?

Yes. Mary Jane 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.

What insurance does Mary Jane Pennington accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Mary Jane 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.

When was this NPI record last updated?

The NPPES record for Mary Jane Pennington was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.