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

Jason Pennypacker

Individual provider Vascular & Interventional Radiology Physician · NPI 1154533313

Jason Pennypacker is a Diagnostic Radiology in Lewisberry, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 2003, 23 years ago. Practices with Quantum Imaging and Therapeutic Associates Inc, a 92-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Washington.

Years since qualifying
23
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA, WA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

629D Lowther Rd Ste 3950
Lewisberry, PA 17339-9527
Phone: (717) 932-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 — (253) 761-4200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD435973 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD60082185 (WA)

Record details

NPI number1154533313
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address629d Lowther Rd, Suite 3950, Lewisberry, PA 17339-9527

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Quantum Imaging And Therapeutic Associates Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lewisberry