Jackson W. Penry, MD
Diagnostic Radiology Physician · Mission Viejo, CA
Jackson W. Penry, MD is a diagnostic radiology physician with a practice address in Mission Viejo, California, and NPI 1003055401, issued on Feb 10, 2009. Check the license (California A114302, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Jackson W. Penry
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- A114302 CA
Self-reported in NPPES; status is on the state search - Practice location
- 27700 Medical Center Road-Radiology Department, Mission Viejo, CA 92691
- Phone
- (949) 364-7744
- Enumerated
- Feb 10, 2009
- Record last updated
- Jul 29, 2014 (not updated in 12 years: call before relying on the address or phone)
- Medicaid IDs
- 1003055401 CA
0A1143020 CA - Medicare enrollment
- Enrolled (PECOS I20110606000608); accepts Medicare assignment
- Medical or professional school
- Ohio State University College Of Medicine, 2006
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 4,500 in California → Look up another NPI →
Verify Jackson W. Penry in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A114302Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 7 group practices
- Beverly Radiology Medical Group IIICorona, CA
- Desert Advanced Imaging Medical CenterPalm Springs, CA
- Fresno Imaging CenterSan Marcos, CA
- Ihs Radiology Medical Group IncOceanside, CA
- Kern Radiology Medical Group IncBakersfield, CA
- Modesto Advanced Diagnostic Imaging Medical CenterModesto, CA
- North County Radiology Associates IncEscondido, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jackson W. Penry among 4,500 diagnostic radiology physician records in California
Jackson W. Penry, MD is one of 4,500 diagnostic radiology physician records with a practice address in California. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 64% of them.
- NPI issued2009 · 64% of these records are older, 33% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2006 · median 2004 among the 3,130 with a school on file
- Record last updated2014 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Diagnostic Radiology Physician providers in California
There are 4,500 diagnostic radiology physician records in California.
All 4,500 in California → Every provider in Mission Viejo → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Talal Beydoun, MDMission Viejo, CA 926911396751384
- Andrew Breiterman, M.D.Mission Viejo, CA 926911770766479
- Joseph England, M.D.Mission Viejo, CA 926911043643851
- Navid Jahed, M.D.Mission Viejo, CA 926911376591925
- Farhad Khorashadi, M.D.Mission Viejo, CA 926911750347316
- Joseph Konstantarakis, M.D.Mission Viejo, CA 926911982655155
- Madhavan Krishnan, MDMission Viejo, CA 926911275515728
- Elliot Sacks, M.D.Mission Viejo, CA 926911346240637
Common questions
What is Jackson W. Penry, MD's NPI number?
Jackson W. Penry, MD's National Provider Identifier (NPI) is 1003055401, issued on Feb 10, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Jackson W. Penry, MD located?
The NPPES record lists a practice address at 27700 Medical Center Road-Radiology Department, Mission Viejo, CA, 92691. Phone: (949) 364-7744. Providers update this record themselves, so call before visiting.
How can I verify Jackson W. Penry, MD's license?
NPPES lists California license number A114302, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Jackson W. Penry, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.