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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDonald Pennington
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    Donald Pennington — Billing Profile & Reimbursement Data

    NPI 1538112792 · Las Vegas, NV · Orthopaedic Surgery Physician

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    Donald Pennington is a orthopaedic surgery physician provider located in Las Vegas, Nevada. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDonald Pennington
    Address9499 W Charleston Blvd Ste 200
    CityLas Vegas
    StateNV
    ZIP89117
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 18, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$211.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg8,230$10$57.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…520$70$36.6K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$850$25.4K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…470$50$24K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…120$100$12K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.40$160$6.4K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…20$280$5.9K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…30$170$5.7K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…70$90$5.6K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…30$160$5.6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73292102,050$10$31.8K
    29827124020$1,110$31K
    2987981040$430$27.8K
    29880163030$570$23.3K
    992141,7053,610110$80$19K
    2988191020$750$15.1K
    992132683,50080$60$10K
    2982394020$230$7.9K
    737214310040$120$7.1K
    73221459040$120$6.7K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Donald Pennington, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven ThomasNVOrthopaedic Surgery Physician$399.3K$0
    Gregory BiglerNVSports Medicine (Orthopaedic Surgery) Physician$244.4K$0
    Russell BouldinNVPhysical Therapist$161.8K$0
    James SchiemerNVPhysical Therapist$148.9K$0
    Brian CarrNVOrthopaedic Surgery Physician$129.9K$0
    Peter TsaiOROrthopaedic Surgery Physician$105.9K$0
    John IrwinNVAdult Health Nurse Practitioner$30.3K$0
    Emily OlsonORPhysician Assistant$20K$0
    Gregory ThielenORHand Occupational Therapist$9.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Donald Pennington, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Personal Care Solutions, Inc.NVHome Health Agency$0$22.3M
    Golden Cross Home Care, LLC.NVIn Home Supportive Care Agency$0$19.4M
    Nevada Best Pca, LLCNVPersonal Care Attendant$0$11M
    Jay SelznickNVOral and Maxillofacial Surgery (Dentist)$0$8.7M
    Tufail & AssociatesNVInternal Medicine Physician$0$7.5M
    Leanne WrightNVSpeech-Language Pathologist$0$6.8M
    A Novo Care LLCNVIn Home Supportive Care Agency$0$6.6M
    Community Medicine Inc.NVInternal Medicine Physician$0$6M
    Amy LapresNVPediatric Occupational Therapist$0$5.7M
    Infectious Disease Specialists, LLCNVInfectious Disease Physician$0$5.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Nevada Distribution
    Donald Pennington — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada