NPIMap

Individual provider Active NPI

Donald W. Pennington, D.O.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1538112792
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO3274 Issued in NV
Practice address
9499 W Charleston Blvd Ste 200
Las Vegas, NV 89117-7147
Phone
(029) 339-3937
Fax
(702) 933-6789
NPI assigned
May 18, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO3274 NV Primary

Addresses

Primary practice location

9499 W Charleston Blvd Ste 200
Las Vegas, NV 89117-7147

Mailing address

9499 W Charleston Blvd Ste 200
Las Vegas, NV 89117-7147
Phone (702) 933-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050927000974 OR Practitioner - Orthopedic Surgery 9436140340 Reassigns benefits to 1 organization
I20230612000187 NV Practitioner - Orthopedic Surgery 9436140340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
College of Osteo Med of the Pacific at Pomona, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2585 Miracle Mile
Bullhead City, AZ 86442-7522

9499 W Charleston Blvd
Suite 200
Las Vegas, NV 89117-7147
Phone (702) 933-9393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
54.24
Improvement activities
40
Cost
85.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)87
Upper limb (arm) arthroscopy (minimally invasive joint repair)94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4015AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mirror Imaging, LLC CurrentSince Jan 1, 2024 Accepting new patients
Orthopedics & Sports Medicine LLC CurrentSince May 8, 2023 Accepting new patients
Upper Hand Orthopaedics, P.C. CurrentSince Oct 13, 2021 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients
Orthopedics & Sports Medicine LLC Orthopaedic Surgery Past Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Firstcare Medical Foundation Orthopaedic Surgery PastSince Sep 1, 2004 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

9499 W Charleston Blvd
Ste 250
Las Vegas, NV 89117
Phone (702) 933-3600

9499 W Charleston Blvd
Ste 200
Las Vegas, NV 89117
Phone (702) 240-9500

2773 NW 9th St
Corvallis, OR 97330
Phone (541) 207-0910

2797 NW 9th St
Corvallis, OR 97330
Phone (541) 207-0910

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5569/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1538112792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 W CHARLESTON BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177147",
            "telephone_number": "702-933-9393",
            "fax_number": "702-933-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 W CHARLESTON BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177147",
            "telephone_number": "029-339-3937",
            "fax_number": "702-933-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "DONALD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "DO3274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.