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

Q: What is Paige Pennebacker's NPI number?

The NPI number for Paige Pennebacker is 1891784724. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is Paige Pennebacker's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Paige Pennebacker was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 13, 2005

315 75TH ST W, BRADENTON, FL 34209(941) 761-0500(855) 521-2857 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 3, 2018, Nov 22, 2017 (2 updates tracked since 2017).

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About Paige Koenig Pennebacker M.d. NPPES

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

PAIGE KOENIG PENNEBACKER M.D. (NPI 1891784724) is an individual surgery provider in Bradenton, Florida, licensed in Florida (ME62365) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1891784724

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NamePAIGE KOENIG PENNEBACKERCredential: M.D.

Location Address315 75TH ST WBradenton, FL 34209-3201

Mailing AddressPo Box 14731Bradenton, FL 34280-4731 · (941) 761-0500 · Fax (941) 761-0400

Phone(941) 761-0500

Fax(855) 521-2857

Sole ProprietorNo

Enumeration DateOctober 13, 2005

Last NPPES UpdateOctober 3, 20182 updates tracked since enumeration

✔ NPI 1891784724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME62365

Definition

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.

315 75TH ST W, Bradenton, FL 34209

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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.

Reported Quality Measures

Biopsy Follow-Up

Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician

100%118 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

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.

100%320 patients5/55-star benchmark: 100%

Health Information Exchange

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…

3%1,259 patients1/55-star benchmark: 98%

Medication Reconciliation

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.

99%1,051 patients4/55-star benchmark: 100%

Patient-Centered Surgical Risk Assessment and Communication

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…

100%480 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

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…

36%569 patients2/55-star benchmark: 100%

Provide Patient Access

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…

10%571 patients1/55-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. DANIEL H OBER PA

Physician Assistant (Medical)