Doctor profile · Federal record
Dr. MARVIN PENNINGTON, PA
Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · TYLER, TX
- NPI 1972534683
- Accepts Medicare
- MIPS 89.3 / 100 · 2023
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3414 GOLDEN RD
TYLER, TX 757018336
(903) 939-7500
fax (800) 248-0426
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- May 19, 2024
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972534683. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,454
Distinct HCPCS
10
Medicare allowed
$107,522
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
72100 |
X-ray of lower and sacral spine, 2-3 views | 221 | 167 | $33 | |
22853 |
Insertion of cage or mesh device to spine bone and disc space during spine fusion | 176 | 84 | $33 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 119 | 113 | $103 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 108 | 79 | $74 | |
63048 |
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 93 | 53 | $27 | |
22614 |
Fusion of additional segment of spine | 87 | 45 | $50 | |
63047 |
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 84 | 84 | $88 | |
22552 |
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 65 | 33 | $51 | |
22842 |
Placement of stabilizing device to back, 3-6 spine bone segments | 64 | 62 | $97 | |
72040 |
X-ray of upper spine, 2-3 views | 62 | 52 | $32 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 62. This provider delivers 23× the peer median.