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Dr. Kenneth Roy Pendergrast

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NPI Number Detailed Information

Provider Information:

Name: Dr. Kenneth Roy Pendergrast
Gender: M
Provider License Number If Given: 101042805

NPI Information:

NPI: 1255304697
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/8/2006

Last Update Date: 11/3/2022

Reputation Report:

Provider Business Mailing Address:

Address: 2000 HEALTH PARK DR FL HP2
Brentwood, TN 37027
Phone Number: 6153737600
Fax Number: 8777672310

Provider Business Practice Location Address:

Address: 2155 APPERSON DR
Salem, VA 24153
Phone Number: 5404442010
Fax Number: 5404442019

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any): 208M00000X
State: VA

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About Dr. Kenneth Roy Pendergrast

Dr. Kenneth Roy Pendergrast (DR. KENNETH ROY PENDERGRAST ) is A Internal Medicine Physician in Salem, VA. The NPI Number for Dr. Kenneth Roy Pendergrast is 1255304697.
The current location address for Dr. Kenneth Roy Pendergrast is 2155 APPERSON DR Salem, VA 24153 and the contact number is 6153737600 and fax number is 8777672310. The mailing address for Dr. Kenneth Roy Pendergrast is 2000 HEALTH PARK DR FL HP2 Brentwood, TN 37027- 5404442010 (mailing address contact number - 6153737600).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Kenneth Roy Pendergrast ?


Answer: The NPI Number for Dr. Kenneth Roy Pendergrast is 1255304697

Where is Dr. Kenneth Roy Pendergrast located?


Answer: Dr. Kenneth Roy Pendergrast is located at 2155 APPERSON DR Salem, VA 24153.

What is the specialty for Dr. Kenneth Roy Pendergrast ?


Answer: The Specialty of Dr. Kenneth Roy Pendergrast is A Internal Medicine Physician.

Are there any online reviews for Dr. Kenneth Roy Pendergrast ?


Answer: Yes! Check It Now.

Are there any other health care providers in Salem, VA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Kenneth Roy Pendergrast

Number of HCPCS 14
Number of Medicare Beneficiaries 52
Number of Services 161
Total Submitted Charge Amount 17976
Total Medicare Allowed Amount 12727.04
Total Medicare Payment Amount 10100.7
Total Medicare Standardized Payment Amount 9844.57
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 14
Number of Medicare Beneficiaries With Medical 52
Number of Medical Services 161
Total Medical Submitted Charge Amount 17976
Total Medical Medicare Allowed Amount 12727.04
Total Medical Medicare Payment Amount 10100.7
Total Medical Medicare Standardized Payment Amount 9844.57
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 23
Number of Beneficiaries Age 75 to 84 13
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 21
Number of Male Beneficiaries 31
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 13
Number of Beneficiaries With Medicare Only Entitlement 39
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.31
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.48
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.65
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.31
Percent (%) of Beneficiaries Identified With Depression 0.48
Percent (%) of Beneficiaries Identified With Diabetes 0.54
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.52
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.33
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 2.4147

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 66
Number of Standardized 30-Day Fills 91
Aggregate Cost Paid for All Claims 1446.76
Number of Day's Supply for All Claims 2556
Number of Medicare Beneficiaries 16
Number of Claims, Including Refills, for Beneficiaries Age 65+ 33
Including Refills, for Beneficiaries Age 65+ 56
Beneficiaries Age 65+ 1127.92
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1599
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 62
Aggregate Cost Paid for Generic Drugs 751.03
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 19
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 534.77
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 47
Aggregate Cost Paid for Claims Filled by 911.99
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 33
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 318.84
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 33
by Low-Income Subsidy 1127.92
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 71.125
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 15
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 0.97725

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