MARK ALAN PENDLETON – Certified Registered Nurse Anesthetist, NPI 1316570757
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID
Provider Addresses for MARK ALAN PENDLETON
PO BOX 558
RIGBY, ID 834420558
Phone: (307) 248-0283
Type: Mailing
777 HOSPITAL WAY
POCATELLO, ID 832015175
Phone: (082) 391-0562
Fax: (208) 239-3626
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($82).
Total Amount
$82
General + Research + Ownership
Payments
4
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $82 |
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: 2020-07-17
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 |
|---|---|---|---|---|
| I20200717001679 | I | Certified Registered Nurse Anesthetist (Crna) | ID | 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 |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 31 | 30 | $0 |
| 00142 | Anesthesia for lens surgery | 25 | 24 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 83442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID |
Reviews
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