JOHN R PENTA M.D.
NPI 1760484604
Obstetrics & Gynecology in Louisville, KY

Q: What is John Penta's NPI number?

The NPI number for John Penta is 1760484604. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is John Penta's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for John Penta was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 11, 2005PECOS Enrolled

95.5/100

CMS Quality Rating

950 BRECKENRIDGE LN STE 200, LOUISVILLE, KY 40207(502) 893-6777(502) 899-5535 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2020, Feb 19, 2019 (2 updates tracked since 2019).

On this page

About John R Penta M.d. NPPES

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

JOHN R PENTA M.D. (NPI 1760484604) is an individual obstetrics & gynecology provider in Louisville, Kentucky, licensed in Kentucky (21548) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760484604

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJOHN R PENTACredential: M.D.

Location Address950 BRECKENRIDGE LN STE 200Louisville, KY 40207-5929

Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750

Phone(502) 893-6777

Fax(502) 899-5535

Sole ProprietorYes

Enumeration DateAugust 11, 2005

Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1760484604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in KY · 21548

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

950 BRECKENRIDGE LN STE 200, Louisville, KY 40207

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Other Identifiers 4

Medicaid64215486KY

Other50000082Passport

OtherP01026547KY · Medicare Railroad

Other000000247085Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John R Penta 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 40207 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 13

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

MISS JENCI LYN HAWTHORNE MEDICAL STUDENT, MD

Obstetrics & Gynecology