Marvin Pennington, PA
NPI 1972534683 · Surgical Physician Assistant · Tyler, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marvin Pennington, PA is a Surgical Physician Assistant provider in Tyler, TX (NPI 1972534683).
Provider details
- NPI number
- 1972534683
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,623 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 Lower and Sacral Spine, 2-3 Views72100 | 238 | $32 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 192 | $33 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 123 | $74 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 123 | $104 |
| Partial Removal of Spine Bone With Release of Spinal Cord And/Or Nerves, Each Additional Segment63048 | 113 | $27 |
| Fusion of Additional Segment of Spine22614 | 101 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2024-05-19
- Certified
- 2024-05-19
Frequently asked questions
- What is Marvin Pennington's NPI number?
- Marvin Pennington's National Provider Identifier (NPI) is 1972534683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marvin Pennington's specialty?
- Marvin Pennington is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marvin Pennington located?
- Marvin Pennington's practice location on file with NPPES is 3414 Golden Rd, Tyler, TX 75701-8336.
- What is Marvin Pennington's phone number?
- The practice phone number listed in the NPPES registry for Marvin Pennington is (903) 939-7500.
- Does Marvin Pennington accept Medicare?
- Marvin Pennington is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marvin Pennington's NPI active?
- Yes — Marvin Pennington's NPI (1972534683) is active in the NPPES registry as of the last update on 2024-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.