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MR. HERBERT LEE PENIX CNP
NPI 1285137455
Nurse Practitioner - Family in Washington Court House, OH

Active since March 14, 2018PECOS EnrolledAccepts Medicare Assignment
308 HIGHLAND AVE UNIT C, WASHINGTON COURT HOUSE, OH 43160(740) 333-4950 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2022, Mar 14, 2018 (2 updates tracked since 2018).

About Mr. Herbert Lee Penix Cnp NPPES

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

MR. HERBERT LEE PENIX CNP (NPI 1285137455) is an individual family provider in Washington Court House, Ohio, licensed in Ohio (022327) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285137455
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. HERBERT LEE PENIXCredential: CNP
Location Address308 HIGHLAND AVE UNIT CWashington Court House, OH 43160-1993
Mailing Address308 Highland Ave Unit CWashington Court House, OH 43160-1993 · (740) 333-4950
Phone(740) 333-4950
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 14, 2018
Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1285137455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 022327
308 HIGHLAND AVE UNIT C, Washington Court House, OH 43160
Open in Google Maps ↗

Other Identifiers 1

Medicaid0271826OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Mr. Herbert Lee Penix Cnp 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 ID4789946872
PECOS Enrollment IDI20180330000405
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 3

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 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.
100 services69 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.
40 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH
OwnershipGovernment - Local
CMS Certification Number361331
Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43160 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

DENNIS A MESKER MD
Family Medicine
308 HIGHLAND AVE UNIT C
WASHINGTON COURT HOUSE, OH 43160
Fayette County (740) 333-4950
MRS. JOYCE HELEN KRECH CNP
Nurse Practitioner (Family)
308 HIGHLAND AVE UNIT C
WASHINGTON COURT HOUSE, OH 43160
Fayette County (740) 333-4950

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 Herbert Penix's NPI number?

The NPI number for Herbert Penix is 1285137455. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Herbert Penix located?

Herbert Penix practices at 308 Highland Ave Unit C, Washington Court House, OH 43160. The listed phone number is (740) 333-4950.

What is Herbert Penix's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Herbert Penix enrolled in Medicare?

Yes. Herbert Penix 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 Herbert Penix accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Herbert Penix 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 Herbert Penix affiliated with any hospitals?

According to CMS data, Herbert Penix is affiliated with Adena Regional Medical Center and Adena Fayette Medical Center.

When was this NPI record last updated?

The NPPES record for Herbert Penix was last updated on October 21, 2022. 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.