Jesse Pullen Penico, MD
Infectious Disease Physician · Gulfport, MS
Jesse Pullen Penico, MD is an infectious disease physician with a practice address in Gulfport, Mississippi, and NPI 1912904590, issued on Jun 28, 2005. Check the license (Mississippi 21358, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Jesse Pullen Penico
- Credential
- MD
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License numbers
- 21358 MS
ME72349 FL
015311 LA
Self-reported in NPPES; status is on the state search - Practice location
- 1340 Broad Ave, Gulfport, MS 39501
- Phone
- (228) 575-2700
- Enumerated
- Jun 28, 2005
- Record last updated
- Sep 22, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (228) 575-2709
- Medicaid IDs
- 00112089 MS
1339181 LA - Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 38 in Mississippi → Look up another NPI →
Also registered at 1340 Broad Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Lissa Baber, AGACNPAcute Care Nurse Practitioner1306409040
- Joseph Bosarge, M.D.Pulmonary Disease Physician1760465058
- Kristine Carter, M.D.Surgery Physician1396768982
- Thaddeus Carter, M.D.Specialist1649278573
Verify Jesse Pullen Penico in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 21358Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average infectious disease physician in 2024
24 Medicare Part D claims, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D.
Most prescribed
- Azithromycin12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Jesse Pullen Penico among 38 infectious disease physician records in Mississippi
Jesse Pullen Penico, MD is one of 38 infectious disease physician records with a practice address in Mississippi. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 95% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileNo · 68% of these records are
- Record last updated2020 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in Mississippi
There are 38 infectious disease physician records in Mississippi.
All 38 in Mississippi → Every provider in Gulfport → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- William Russell, DOBiloxi, MS 395311447710579
- Stuart Wood, M.D.Keesler Afb, MS 395341366606394
- Thomas Dobbs, M.D.Laurel, MS 394401770597882
- Senate Amusu, MDHattiesburg, MS 394011700309432
- Ralph Kahler, MDHattiesburg, MS 394011063526895
- Thompson Liddell, M.D.Hattiesburg, MS 394011851703201
- Andrew Lin, MDHattiesburg, MS 394011528172244
- Jason Moss, DOHattiesburg, MS 394011235558149
Common questions
What is Jesse Pullen Penico, MD's NPI number?
Jesse Pullen Penico, MD's National Provider Identifier (NPI) is 1912904590, issued on Jun 28, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Jesse Pullen Penico, MD located?
The NPPES record lists a practice address at 1340 Broad Ave, Gulfport, MS, 39501. Phone: (228) 575-2700. Providers update this record themselves, so call before visiting.
How can I verify Jesse Pullen Penico, MD's license?
NPPES lists Mississippi license number 21358, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jesse Pullen Penico, MD prescribe under Medicare Part D?
In 2024, Jesse Pullen Penico, MD had 24 Medicare Part D claims; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
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.