NPIMap

Individual provider Active NPI

Steven E Pennington, M.D.

  • Orthopaedic Surgery Physician
  • Pullman, WA
National Provider Identifier
1740290642
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M7323 Issued in ID
Practice address
825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone
(509) 332-2828
Fax
(509) 334-7474
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M7323 ID Primary
Orthopaedic Surgery Physician 207X00000X MD00034937 WA

Addresses

Primary practice location

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517

Mailing address

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone (509) 332-2828

Other practice location 1

2500 W A St
Suite 201
Moscow, ID 83843-5065
Phone (208) 883-2828

Other identifiers 4

IdentifierTypeStateIssuer
2113334MedicaidWA
115398OtherWAWA DEPT OF LABOR
1101567MedicaidWA
804163900MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 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
I20091120000280 WA Practitioner - Orthopedic Surgery 5991844532 Reassigns benefits to 2 organizations
Practice locations: Pullman, WA
I20091222000323 ID Practitioner - Orthopedic Surgery 5991844532 Reassigns benefits to 1 organization
Practice locations: Moscow, ID

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District 1-a of Whitman CountyGroup PAC ID 8325934987, 86 clinicians

Practice addresses (Care Compare)

2500 W a St
Suite 201
Moscow, ID 83843-6000
Phone (208) 332-2828

825 SE Bishop Blvd
Suite 120
Pullman, WA 99163-5517
Phone (509) 332-2828

Hospital & facility affiliations

  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331
  • St Mary'S Hospital Hospital, Cottonwood, ID, CCN 131321
  • Gritman Medical Center Hospital, Moscow, ID, CCN 131327
  • Whitman Hospital and Medical Center Hospital, Colfax, WA, CCN 501327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)20
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7323IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Aug 1, 2024 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Edwin M. Tingstad, MD PLLC Orthopaedic Surgery Past Accepting new patients
Public Hospital District # 1-a Past Accepting new patients

Locations

2500 W A St
Ste 201
Moscow, ID 83843
Phone (208) 332-2828

825 SE Bishop Blvd
Ste 120
Pullman, WA 99163
Phone (509) 332-2828

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1740290642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 120",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-332-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 120",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-332-2828",
            "fax_number": "509-334-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W A St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838435065",
            "country_code": "US",
            "telephone_number": "208-883-2828",
            "fax_number": "208-882-2179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M7323",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00034937",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113334",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "115398",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101567",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804163900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.