MARY ROSALIE PENA-PRIDMORE (MD) – Family Medicine Physician, NPI 1336240837
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for MARY ROSALIE PENA-PRIDMORE (MD)
1114 YUBA ST RM 144
MARYSVILLE, CA 959014838
Phone: (530) 749-3242
Fax: (530) 741-9274
Type: Mailing
724 5th St
Marysville, CA 959015646
Phone: (530) 743-7413
Fax: (530) 743-7971
Type: Location
9980 Live Oak Blvd
Live Oak, CA 959532334
Phone: (530) 749-3242
Fax: (530) 749-3248
Type: Location
9980, Live Oak Boulevard, Live Oak, Sutter County, California, 95953, United States
LIVE OAK, CA 959532334
Phone: (530) 749-3242
Fax: (530) 749-3248
Type: Location
355 SAMUEL DR
YUBA CITY, CA 959916324
Phone: (530) 674-9200
Fax: (530) 674-5667
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,038.
Total Amount is formed as General ($1,038) + Research ($0) + Ownership ($0) = $1,038.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($249).
Total Amount
$1,038
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,038
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081014000152 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 22 | 20 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 17 | 13 | $0 |
Insurance plans in this area (ZIP 95901)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | NY | |
| Clinical Social Worker | CA | |
| - | MA | |
| C H I R O P R A C T I C | CA | |
| C H I R O P R A C T I C | CA | |
| Internal Medicine | CA | |
| - | MI | |
| Internal Medicine | CA | |
| - | CA | |
| Rheumatology, Internal Medicine | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.