Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jon Fredrick Pennycuff, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568889756

Dr. Jon Fredrick Pennycuff, MD is an Obstetrics/Gynecology in Madison, Wisconsin. Graduated from Emory University School of Medicine in 2014, 12 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Wisconsin.

Years since qualifying
12
Trained at
Emory University School of Medicine
Licensed in
DC, WI
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

202 S Park St
Madison, WI 53715-1507
Phone: (608) 263-6240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence 75417-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD046440 (DC)

Record details

NPI number1568889756
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2014
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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