ANDREW TENNANT PENNOCK M.D.
NPI 1619151685
Orthopaedic Surgery in San Diego, CA

Active since December 26, 2007PECOS Enrolled
3030 CHILDRENS WAY, STE 410, SAN DIEGO, CA 92123(858) 966-6789(858) 966-8519 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Tennant Pennock M.d. NPPES

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

ANDREW TENNANT PENNOCK M.D. (NPI 1619151685) is an individual orthopaedic surgery provider in San Diego, California, licensed in California (A90049) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619151685
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW TENNANT PENNOCKCredential: M.D.
Location Address3030 CHILDRENS WAY, STE 410San Diego, CA 92123-4232
Mailing Address3860 Calle Fortunada, Ste #210San Diego, CT 92123-4802 · (858) 309-6303 · Fax (858) 309-6301
Fax(858) 966-8519
Sole ProprietorNo
Enumeration DateDecember 26, 2007
Last NPPES UpdateNovember 2, 2011
NPI 1619151685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A90049
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.

3030 CHILDRENS WAY, San Diego, CA 92123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew Tennant Pennock M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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.

Allergy & Immunology
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Ophthalmology
3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123
Pediatrics (Pediatric Gastroenterology)
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3030 CHILDRENS WAY, STE 410
SAN DIEGO, CA 92123

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 Andrew Pennock's NPI number?

The NPI number for Andrew Pennock is 1619151685. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Andrew Pennock located?

Andrew Pennock practices at 3030 Childrens Way Ste 410, San Diego, CA 92123. The listed phone number is (858) 966-6789.

What is Andrew Pennock's specialty?

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

Is Andrew Pennock enrolled in Medicare?

Yes. Andrew Pennock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Pennock was last updated on November 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.