Jackson Penry, MD
NPI 1003055401 · Diagnostic Radiology Physician · Mission Viejo, CA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Penry, MD is a Diagnostic Radiology Physician provider in Mission Viejo, CA (NPI 1003055401).
Provider details
- NPI number
- 1003055401
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A114302 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,477 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 414 | $9 |
| Ct Scan Head Or Brain Without Contrast70450 | 319 | $40 |
| Ct Scan of Upper Spine Without Contrast72125 | 148 | $48 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 81 | $89 |
| Fluorodeoxyglucose F-18 Fdg, Diagnostic, Per Study Dose, Up to 45 MillicuriesA9552 | 68 | $23 |
| Nuclear Medicine Study From Skull Base to Mid-Thigh With Ct Scan78815 | 64 | $1,872 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2014-07-29
Frequently asked questions
- What is Jackson Penry's NPI number?
- Jackson Penry's National Provider Identifier (NPI) is 1003055401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Penry's specialty?
- Jackson Penry is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Penry located?
- Jackson Penry's practice location on file with NPPES is 27700 Medical Center Road-Radiology Department, Mission Viejo, CA 92691-6426.
- What is Jackson Penry's phone number?
- The practice phone number listed in the NPPES registry for Jackson Penry is (949) 364-7744.
- Does Jackson Penry accept Medicare?
- Jackson Penry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Penry's NPI active?
- Yes — Jackson Penry's NPI (1003055401) is active in the NPPES registry as of the last update on 2014-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.