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Mary Jane Pennington, MD

NPI 1205868452ActiveIndividual· Pediatrics· West Valley City, UT

Pediatrics (MD) in West Valley City, Utah, trained at Washington University School of Medicine (class of 1985). Medicare paid $663,923 for services to 7,014 patients in 2024.

Overview

NPI1205868452
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 7, 2006
Last updated in NPPESOct 3, 2024
Certified by providerOct 3, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X1750881205UT

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)Enrolled Practitioner - Pediatric Medicine (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients7,014
Services billed80,544 across 184 procedure codes
Paid by Medicare$663,923

Medicare sources and data years

Education and affiliations

Medical schoolWashington University School of Medicine
Graduation year1985
Medicare specialtyPediatric Medicine

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Pediatrics providers in West Valley City

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