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Timothy J. Penn, MD

NPI 1124003439ActiveIndividual· Orthopaedic Surgery· Glen Carbon, IL

Orthopaedic Surgery (MD) in Glen Carbon, Illinois, licensed in IL, with an NPI issued in December 2005. Mostly services rather than prescriptions: Medicare paid $133.71 for 15 patients in 2024, with only 11 Part D claims.

Overview

NPI1124003439
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedDec 8, 2005
Last updated in NPPESFeb 3, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Orthopaedic Surgery Primary207X00000X036092240IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients15
Services billed49 across 9 procedure codes
Paid by Medicare$133.71

Part D prescriptions in 2024

Prescriptions (claims)11 · 11 30-day fills
Total drug cost$26.07

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Orthopaedic Surgery providers in Glen Carbon

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