Dr. Jesse Pullen Penico

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Jesse Pullen Penico
Gender:	M
Provider License Number If Given:	ME72349

NPI Information:

NPI:	1912904590
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/28/2005
Last Update Date:	9/22/2020
Reputation Report:

Provider Business Mailing Address:

Address:	PO BOX 1810 Gulfport, MS 39502
Phone Number:	2285752700
Fax Number:	2285752710

Provider Business Practice Location Address:

Address:	1340 BROAD AVE SUITE 300 Gulfport, MS 39501
Phone Number:	2285752700
Fax Number:	2285752709

Provider Taxonomy:

Primary:	207RI0200X
Secondary (if any):	207RI0200X
State:	MS

Top Doctors in MS

About Dr. Jesse Pullen Penico

Dr. Jesse Pullen Penico (DR. JESSE PULLEN PENICO ) is An Internal Medicine Physician in Gulfport, MS. The NPI Number for Dr. Jesse Pullen Penico is 1912904590.

The current location address for Dr. Jesse Pullen Penico is 1340 BROAD AVE SUITE 300 Gulfport, MS 39501 and the contact number is 2285752700 and fax number is 2285752710. The mailing address for Dr. Jesse Pullen Penico is PO BOX 1810 Gulfport, MS 39502- 2285752700 (mailing address contact number - 2285752700).

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jesse Pullen Penico ?

Answer: The NPI Number for Dr. Jesse Pullen Penico is 1912904590

Where is Dr. Jesse Pullen Penico located?

Answer: Dr. Jesse Pullen Penico is located at 1340 BROAD AVE SUITE 300 Gulfport, MS 39501.

What is the specialty for Dr. Jesse Pullen Penico ?

Answer: The Specialty of Dr. Jesse Pullen Penico is An Internal Medicine Physician.

Are there any online reviews for Dr. Jesse Pullen Penico ?

Answer: Yes! Check It Now.

Are there any other health care providers in Gulfport, MS?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jesse Pullen Penico

Number of HCPCS	18
Number of Medicare Beneficiaries	751
Number of Services	3488
Total Submitted Charge Amount	861143
Total Medicare Allowed Amount	292290.5
Total Medicare Payment Amount	242243.76
Total Medicare Standardized Payment Amount	250085
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	18
Number of Medicare Beneficiaries With Medical	751
Number of Medical Services	3488
Total Medical Submitted Charge Amount	861143
Total Medical Medicare Allowed Amount	292290.5
Total Medical Medicare Payment Amount	242243.76
Total Medical Medicare Standardized Payment Amount	250085
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65	157
Number of Beneficiaries Age 65 to 74	278
Number of Beneficiaries Age 75 to 84	220
Number of Beneficiaries Age Greater 84	96
Number of Female Beneficiaries	366
Number of Male Beneficiaries	385
Number of Non-Hispanic White Beneficiaries	599
Number of Black or African American Beneficiaries	128
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	212
Number of Beneficiaries With Medicare Only Entitlement	539
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.26
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.26
Percent (%) of Beneficiaries Identified With Asthma	0.09
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.48
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.67
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.35
Percent (%) of Beneficiaries Identified With Depression	0.35
Percent (%) of Beneficiaries Identified With Diabetes	0.51
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.73
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.61
Percent (%) of Beneficiaries Identified With Osteoporosis	0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.57
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.04
Percent (%) of Beneficiaries Identified With Stroke	0.13
Average HCC Risk Score of Beneficiaries	2.8597

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Infectious Disease
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1993
Number of Standardized 30-Day Fills	2071.8333333
Aggregate Cost Paid for All Claims	1375933.58
Number of Day's Supply for All Claims	32209
Number of Medicare Beneficiaries	245
Number of Claims, Including Refills, for Beneficiaries Age 65+	1036
Including Refills, for Beneficiaries Age 65+	1096
Beneficiaries Age 65+	500863.47
Number of Day's Supply for All Claims for Beneficaries Age 65+	15196
Number of Medicare Beneficiaries Age 65+	155
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1136
Aggregate Cost Paid for Generic Drugs	412974.24
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1181
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	946431.09
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	812
Aggregate Cost Paid for Claims Filled by	429502.49
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1219
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	1009089.2
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	774
by Low-Income Subsidy	366844.38
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	997
Aggregate Cost Paid for Antibiotic Drugs	529524.55
Antibiotic Claims	187
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	66.995918367
Number of Beneficiaries Age Less Than 65	90
Number of Beneficiaries Age 65 to 74	92
Number of Beneficiaries Age 75 to 84	47
Number of Female Beneficiaries	115
Number of Male Beneficiaries	130
Number of Non-Hispanic White	193
Number of Black or African American	45
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	131
Average Hierarchical Condition Category	3.0309250157

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