Dr. Gregorius Resuma Penilla , MD
Internal Medicine โข Fenton, MO
1345 Smizer Mill Rd Ste 1100
Fenton, MO 630267305
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Gregorius Penilla is listed in NPPES under Internal Medicine.
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NPI assigned on July 31, 2006; this date does not establish years in practice.
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Published CMS data list 861 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 323 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 148 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 143 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 6,257 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 830 prescription fills, including refills.
- Amlodipine Besylate โ 355 prescription fills, including refills.
- Losartan Potassium โ 311 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 107 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Missouri (2024, 1,294 clinicians with data). Median for this group: 636. Middle half: 275 to 1,153.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 505 in 2020 to 861 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1345 Smizer Mill Rd Ste 1100
Fenton, MO 630267305
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Manchester, MO. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Ssm Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1981
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
196 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $85,063 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $63,147 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
16,451 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$524,644 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $121.17 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
45 years (graduated 1981)
CMS Doctors and Clinicians data list 1981 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Penilla has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Penilla as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fenton and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Missouri (2024, 1,294 clinicians with data). Median for this group: 636. Middle half: 275 to 1,153.
Too few clinicians listed under Internal Medicine in Fenton have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Internal Medicine in Missouri (2024, 1,294 clinicians with data). Median for this group: $58,356. Middle half: $24,607 to $99,521.
Too few clinicians listed under Internal Medicine in Fenton have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Internal Medicine in Missouri (2024, 1,294 clinicians with data). Median for this group: $44,753. Middle half: $18,506 to $76,077.
Too few clinicians listed under Internal Medicine in Fenton have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Internal Medicine in Missouri (2024, 1,527 clinicians with data). Median for this group: 769. Middle half: 122 to 7,845.
Too few clinicians listed under Internal Medicine in Fenton have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Internal Medicine in Missouri (2024, 1,527 clinicians with data). Median for this group: $59,800. Middle half: $2,277 to $575,890.
Too few clinicians listed under Internal Medicine in Fenton have Medicare Part D data for 2024 to compare.
13 active clinicians are listed under Internal Medicine with a practice address in Fenton, MO (2,588 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fenton
23.1% of these 13 clinicians have the CMS telehealth indicator.
69.2% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 70% from 505 in 2020 to 861 in 2024.
- 2020: 505
- 2021: 538
- 2022: 684
- 2023: 740
- 2024: 861
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Medicare-allowed amount
Medicare-allowed amount increased 85% from $45,998 in 2020 to $85,063 in 2024.
- 2020: $45,998
- 2021: $62,706
- 2022: $81,182
- 2023: $85,047
- 2024: $85,063
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Paid by Medicare
Paid by Medicare increased 81% from $34,874 in 2020 to $63,147 in 2024.
- 2020: $34,874
- 2021: $49,295
- 2022: $61,370
- 2023: $63,246
- 2024: $63,147
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 101% from 3,107 in 2020 to 6,257 in 2024.
- 2020: 3,107
- 2021: 4,218
- 2022: 5,285
- 2023: 5,763
- 2024: 6,257
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30-day fills
30-day fills increased 104% from 8,056 in 2020 to 16,451 in 2024.
- 2020: 8,056
- 2021: 11,043
- 2022: 13,524
- 2023: 14,937
- 2024: 16,451
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Part D drug cost
Part D drug cost increased 213% from $167,543 in 2020 to $524,644 in 2024.
- 2020: $167,543
- 2021: $233,741
- 2022: $371,604
- 2023: $406,567
- 2024: $524,644
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $115.35 in 2021 to $121.17 in 2025.
- 2021: $115.35
- 2022: $252.88
- 2023: $349.91
- 2024: $6,252.64
- 2025: $121.17
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $121.17.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
REPATHA | General | $121.17 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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323 | 173 | $295.00 | $122.80 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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148 | 148 | $262.00 | $124.05 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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143 | 107 | $35.00 | $15.84 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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62 | 47 | $361.00 | $173.62 |
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G0008
Administration of influenza virus vaccine
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40 | 39 | $48.00 | $31.21 |
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90480
Admn sarscov2 vacc 1 dose
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38 | 35 | $90.00 | $41.62 |
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90653
Influenza vaccine, inactivated
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34 | 34 | $167.00 | $81.82 |
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71046
X-ray of chest, 2 views
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19 | 17 | $63.00 | $21.78 |
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91320
Sarscv2 vac 30mcg trs-suc im
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19 | 19 | $288.00 | $128.48 |
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91322
Sarscov2 vac 50 mcg/0.5ml im
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19 | 19 | $311.00 | $158.42 |
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G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
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16 | 16 | $335.00 | $158.32 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 830 | 72,158 | $5,327.14 | 223 |
| Amlodipine Besylate | Amlodipine Besylate | 355 | 29,814 | $1,732.68 | 93 |
| Losartan Potassium | Losartan Potassium | 311 | 28,100 | $1,880.19 | 90 |
| Lisinopril | Lisinopril | 275 | 23,587 | $1,446.61 | 71 |
| Metformin Hcl | Metformin Hcl | 210 | 18,909 | $1,413.92 | 59 |
| Simvastatin | Simvastatin | 191 | 16,392 | $1,215.87 | 47 |
| Levothyroxine Sodium | Levothyroxine Sodium | 186 | 16,428 | $1,297.61 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 183 | 16,240 | $1,870.06 | 57 |
| Tamsulosin Hcl | Tamsulosin Hcl | 167 | 14,284 | $1,555.35 | 56 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 154 | 13,580 | $1,096.20 | 46 |
| Escitalopram Oxalate | Escitalopram Oxalate | 135 | 10,094 | $1,412.97 | 36 |
| Allopurinol | Allopurinol | 132 | 11,822 | $1,030.37 | 37 |
| Arexvy | Rsvpref3 Antigen/As01e/Pf | 122 | 151 | $29,715.54 | 120 |
| Hydrochlorothiazide | Hydrochlorothiazide | 118 | 10,559 | $332.60 | 34 |
| Meloxicam | Meloxicam | 103 | 5,020 | $192.99 | 32 |
| Omeprazole | Omeprazole | 100 | 8,720 | $877.19 | 34 |
| Fluticasone Propionate | Fluticasone Propionate | 96 | 6,833 | $1,769.85 | 45 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 85 | 7,726 | $683.88 | 25 |
| Pantoprazole Sodium | Pantoprazole Sodium | 77 | 6,786 | $876.17 | 23 |
| Potassium Chloride | Potassium Chloride | 75 | 5,940 | $1,492.76 | 18 |
| Jardiance | Empagliflozin | 71 | 5,379 | $105,650.93 | 20 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 70 | 6,230 | $583.95 | 18 |
| Farxiga | Dapagliflozin Propanediol | 70 | 4,986 | $94,499.02 | 18 |
| Gabapentin | Gabapentin | 69 | 4,747 | $1,510.45 | 22 |
| Carvedilol | Carvedilol | 65 | 5,680 | $446.21 | 22 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-10-26NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20071113000601
MO
8426146192
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ssm Medical Group Inc
1345 Smizer Mill Rd, Fenton, MO 630267305
Ssm Medical Group Inc
1035 Bellevue Ave, Saint Louis, MO 631171843
Phone: 3149254770
Secondary Practice Locations
14309 Manchester Rd
Manchester, MO 630114050
Phone: 6362278880
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1345 SMIZER MILL RD STE 1100, FENTON, MO 630267305 (Tel: 6364965040)
Registered at PO BOX 955534, SAINT LOUIS, MO 631955534
Additional practice office at 14309 Manchester Rd, Manchester, MO 630114050
NPI status registered as active in NPPES database
Registered at 14309 MANCHESTER RD, MANCHESTER, MO 630114050 (Tel: 6362278880)
Registered at 14309 MANCHESTER RD, MANCHESTER, MO 630114050 (Tel: 6362278880)
Recorded as GREGORIUS PENILLA, M.D.
Internal Medicine (license number reported to NPPES: MO 36678)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Fenton
- Dr. Felice Rolnick, MD
- Dr. Emily Bahram-Ahi, MD
- Dr. Edward Reh, MD
- Dr. Rachel George, MD
- Dr. Vladimir Milo, MD
- Dr. Aaron Schenone, DO
More public profiles in Missouri
Directory navigation, in NPI number order.
- Dwight Zabel, MD Internal Medicine - Nephrology ยท Branson
- John Borsa, MD Radiology - Vascular & Interventional Radiology ยท Kansas City
- Syed Ahmed, MD Internal Medicine - Pulmonary Disease ยท Joplin
- Jennifer Bowe, MD Family Medicine ยท Trenton
- Emily Glover, MD Emergency Medicine ยท Washington
- Dennis Riney, PT Physical Therapist ยท Cape Girardeau
- Xiaohui Fan, MD Physical Medicine & Rehabilitation - Pain Medicine ยท Farmington
- Michael Schwartzman, DO Psychiatry & Neurology - Neurology ยท Kansas City
- Kelly Deines, DDS Dentist - General Practice ยท Kansas City
- John Peloza, MD Orthopaedic Surgery - Orthopaedic Surgery of the Spine ยท Chesterfield
- Stephen Thro, PT Physical Therapist ยท O Fallon
- Ronald Angles, DO Internal Medicine - Gastroenterology ยท Cape Girardeau
Mailing Address
Po Box 955534
Saint Louis, MO 631955534