MARVIN DEAN PENNINGTON PA
NPI 1972534683
Physician Assistant - Surgical in Tyler, TX

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
3414 GOLDEN RD, TYLER, TX 75701(903) 939-7500(800) 248-0426 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2024, Apr 8, 2020, Jan 28, 2019 (3 updates tracked since 2019).

About Marvin Dean Pennington Pa NPPES

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

MARVIN DEAN PENNINGTON PA (NPI 1972534683) is an individual surgical provider in Tyler, Texas and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1972534683
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARVIN DEAN PENNINGTONCredential: PA
Location Address3414 GOLDEN RDTyler, TX 75701-8336
Mailing Address3414 Golden RdTyler, TX 75701-8336 · (903) 939-7500 · Fax (800) 248-0426
Fax(800) 248-0426
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 19, 20243 updates tracked since enumeration
NPPES CertifiedMay 19, 2024
NPI 1972534683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
3414 GOLDEN RD, Tyler, TX 75701

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marvin Dean Pennington Pa 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 ID9638078199
PECOS Enrollment IDI20040103000028
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.

Areas of Expertise CMS Part B claims 24

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.

X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
238 services189 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
192 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
123 services95 patients
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.
123 services116 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
113 services71 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
101 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX
OwnershipPhysician
CMS Certification Number450864
Location1814 Roseland BoulevardTyler, TX 75701 · Smith County
Emergency services

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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.62
Promoting Interoperability96
Improvement Activities40
Cost100

Reported Quality Measures

Breast Cancer Screening
56%191 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
60%379 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
42%31 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
79%24 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%711 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
66%357 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%520 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%534 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 450 patients
Patients screened: 81% · 450 patients
7%28 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
82%332 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%52 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 370 patients
Patients totalRate: 7% · 370 patients
6%370 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.

Nurse Practitioner (Family)
3414 GOLDEN RD
TYLER, TX 75701
Pain Medicine (Interventional Pain Medicine)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physician Assistant (Surgical)
3414 GOLDEN RD
TYLER, TX 75701
Physical Medicine & Rehabilitation
3414 GOLDEN RD
TYLER, TX 75701

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 Marvin Pennington's NPI number?

The NPI number for Marvin Pennington is 1972534683. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Marvin Pennington located?

Marvin Pennington practices at 3414 Golden Rd, Tyler, TX 75701. The listed phone number is (903) 939-7500.

What is Marvin Pennington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marvin Pennington enrolled in Medicare?

Yes. Marvin 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.

What insurance does Marvin Pennington accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Marvin 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 Marvin Pennington affiliated with any hospitals?

According to CMS data, Marvin Pennington is affiliated with Ut Health East Texas Tyler Regional Hospital and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for Marvin Pennington was last updated on May 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.