Active NPI
Thomas M Penoyar, M.D.
- Surgery Physician
- Ellensburg, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD60523679
- Practice address
- 611 S Chestnut St
Ellensburg, WA 98926-4815 - Phone
- (509) 962-7397
- NPI assigned
- Jul 29, 2010
- Last updated
- May 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD60523679 | WA | Primary |
Addresses
Primary practice location
611 S Chestnut St
Ellensburg, WA 98926-4815
Mailing address
611 S Chestnut St
Ellensburg, WA 98926-4815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Washington School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 S Chestnut St
Suite a
Ellensburg, WA 98926-4815
Phone (509) 962-7390
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.91 of 100
- Quality
- 66.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 42 |
| Hernia repair - groin (open) | 12 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 17 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Kittitas County Public Hosp Dist 1 | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Past | Accepting new patients |
Locations
201 Alpha Way
Cle Elum, WA 98922
Phone (509) 674-5331
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
611 S Chestnut St
Ste A
Ellensburg, WA 98926
Phone (509) 933-7575
Interoperability endpoints
- tpenoyar@kittitasvalleyhealthcare.cernerdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kittitas Valley Community Hospital
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
dba KVH General Surgery
- Specialist
- Ellensburg, WA
- NPI 1790910057
-
dba KVH Family Medicine Ellensburg
- Rural Health Clinic/Center
- Ellensburg, WA
- NPI 1770711764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kittitas Valley Community Hospital
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1205140597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S CHESTNUT ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989264815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S CHESTNUT ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989264815",
"telephone_number": "509-962-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENOYAR",
"first_name": "THOMAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60523679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.