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JAMES HENRY PENNINGTON M.D.
NPI 1700808169
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Pensacola, FL

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
5147 N 9TH AVE, SUITE 325A, PENSACOLA, FL 32504(850) 475-9025(850) 494-7855 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Henry Pennington M.d. NPPES

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

JAMES HENRY PENNINGTON M.D. (NPI 1700808169) is an individual otolaryngology/facial plastic surgery provider in Pensacola, Florida, licensed in Florida (ME53420) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of Mississippi School Of Medicine (1982).

NPPES Registry Identity

NPI1700808169
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameJAMES HENRY PENNINGTONCredential: M.D.
Location Address5147 N 9TH AVE, SUITE 325APensacola, FL 32504-8771
Mailing Address5147 N 9th Ave, Suite 325aPensacola, FL 32504-8771 · (850) 475-9025 · Fax (850) 494-7855
Phone(850) 475-9025
Fax(850) 494-7855
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1982
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700808169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in FL · ME53420
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
5147 N 9TH AVE, Pensacola, FL 32504
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE49305FL
Medicare ID-Type Unspecified07668FL

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), Molina Healthcare 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

James Henry Pennington M.d. 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 ID2365549235
PECOS Enrollment IDI20110107001024
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 James Pennington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sacred Heart Health System, Inc.
0.2 mi
Family Medicine
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Alabama and Florida enrollments
  • Also billed through NPI 1043261498 (Florida)
  • 14 clinicians in this Medicare group
NPI 1144271586 (850) 475-4500

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 7

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.
197 services134 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.
84 services84 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
34 services28 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
25 services17 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.
19 services19 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
54%233 patients3/55-star benchmark: 93%
Cervical Cancer Screening
33%203 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
40%515 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
60%262 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
47%85 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,189 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
44%359 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 64% · 782 patients
Patients screened: 67% · 782 patients
63%65 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%283 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 374 patients
Patients totalRate: 9% · 388 patients
10%388 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. RICHARD J AMATO PA-C
Physician Assistant (Surgical)
5147 N 9TH AVE, STE 318
PENSACOLA, FL 32504
Escambia County (850) 462-2250
LUDOVIC M LASQUETY M.D.
Surgery
5147 N 9TH AVE, STE. 203
PENSACOLA, FL 32504
Escambia County (850) 476-6110
PENSACOLA BONE & JOINT CLINIC PA
Orthopaedic Surgery
5147 N 9TH AVE, SUITE 110
PENSACOLA, FL 32504
Escambia County (850) 479-7229
WILLIAM ELSWORTH GROSS MD
Otolaryngology
5147 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 475-9025
BRADLEY RICHARD CONTI P.A.
Physician Assistant (Surgical)
5147 N 9TH AVE, SUITE 322
PENSACOLA, FL 32504
Escambia County (850) 474-9995
MRS. ALLISON KIRKLAND TERRELL MS CCC A
Audiologist
5147 N 9TH AVE, MEDICAL MALL STE. 315
PENSACOLA, FL 32504
Escambia County (850) 473-0112
DR. STEVEN S. SAMII M.D.
Internal Medicine
5147 N 9TH AVE, SUITE 103
PENSACOLA, FL 32504
Escambia County (850) 416-6886
MCMAHON & RICKETSON MD PA
Surgery
5147 N 9TH AVE, STE. 203
PENSACOLA, FL 32504
Escambia County (850) 476-6110

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 James Pennington's NPI number?

The NPI number for James Pennington is 1700808169. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is James Pennington located?

James Pennington practices at 5147 N 9th Ave Suite 325A, Pensacola, FL 32504. The listed phone number is (850) 475-9025.

What is James Pennington's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is James Pennington enrolled in Medicare?

Yes. James 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 James Pennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pennington reassigns Medicare benefits to Sacred Heart Health System, Inc. (Pensacola, 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 James Pennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pennington accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list James 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 James Pennington affiliated with any hospitals?

According to CMS data, James Pennington is affiliated with Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for James Pennington was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.