Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Timothy J Penn, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124003439

Timothy J Penn, MD is an Orthopaedic Surgery Physician in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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

4802 S State Route 159
Glen Carbon, IL 62034-1904 Not confirmed with CMS for 11 years — call before visiting
Phone: (618) 288-4388
Fax: (618) 288-4927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036092240 (IL)

Record details

NPI number1124003439
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESFebruary 3, 2015

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients15
Services billed 49 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Glen Carbon