PAIGE KOENIG PENNEBACKER M.D.
NPI 1891784724
Surgery in Bradenton, FL

NPI Status: Active since October 13, 2005

Contact Information

315 75TH ST W
BRADENTON, FL
ZIP 34209
Phone: (941) 761-0500
Fax: (855) 521-2857

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  • Individual
  • Male
  • Surgery
  • Medicare Quality Reporting

About PAIGE PENNEBACKER

This page provides the complete NPI Profile along with additional information for Paige Pennebacker, a provider established in Bradenton, Florida with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1891784724 assigned on October 2005. The practitioner's primary taxonomy code is 208600000X with license number ME62365 (FL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1891784724
Provider Name
PAIGE KOENIG PENNEBACKER M.D.
Gender
Male
Entity Type
Individual
Location Address
315 75TH ST W BRADENTON, FL 34209
Location Phone
(941) 761-0500
Location Fax
(855) 521-2857
Mailing Address
PO BOX 14731 BRADENTON, FL 34280
Mailing Phone
(941) 761-0500
Mailing Fax
(855) 521-2857
Is Sole Proprietor?
No
Enumeration Date
10-13-2005
Last Update Date
10-03-2018
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A surgeon like Paige Pennebacker treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
ME62365
License State
FL
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Biopsy Follow-Up 100% 118
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
Documentation of Current Medications in the Medical Record 100% 320
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Health Information Exchange 3% 1259
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 99% 1051
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Centered Surgical Risk Assessment and Communication 100% 480
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 36% 569
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide Patient Access 10% 571
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891784724, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 4 + 8 + 8 + 7 + 4 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1891784724.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
315 75TH ST W
BRADENTON, FL 34209
Physician Assistant (Medical)
315 75TH ST W
BRADENTON, FL 34209
Physician Assistant (Medical)
315 75TH ST W
BRADENTON, FL 34209
Emergency Medicine
315 75TH ST W
BRADENTON, FL 34209
Family Medicine
315 75TH ST W
BRADENTON, FL 34209
Nurse Practitioner
315 75TH ST W
BRADENTON, FL 34209
Podiatrist (Foot Surgery)
315 75TH ST W
BRADENTON, FL 34209
Family Medicine
315 75TH ST W
BRADENTON, FL 34209
Emergency Medicine
315 75TH ST W
BRADENTON, FL 34209
Physician Assistant
315 75TH ST W
BRADENTON, FL 34209
Orthopaedic Surgery
315 75TH ST W
BRADENTON, FL 34209
Emergency Medicine
315 75TH ST W
BRADENTON, FL 34209
Clinic/Center (Urgent Care)
315 75TH ST W
BRADENTON, FL 34209
Internal Medicine (Clinical Cardiac Electrophysiology)
315 75TH ST W
BRADENTON, FL 34209
Internal Medicine
315 75TH ST W
BRADENTON, FL 34209
Physician Assistant (Medical)
315 75TH ST W
BRADENTON, FL 34209
Thoracic Surgery (Cardiothoracic Vascular Surgery)
315 75TH ST W
BRADENTON, FL 34209
Thoracic Surgery (Cardiothoracic Vascular Surgery)
315 75TH ST W
BRADENTON, FL 34209
Internal Medicine (Rheumatology)
315 75TH ST W
BRADENTON, FL 34209
Internal Medicine
315 75TH ST W
BRADENTON, FL 34209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891784724, enumerated as an "individual" on October 13, 2005.

The provider is located at 315 75TH ST W BRADENTON, FL 34209 and the phone number is (941) 761-0500.

Surgery with taxonomy code 208600000X.