JANET S. PRENDERGAST (D.O.) – Family Medicine Physician, NPI 1306823885
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
Provider Addresses for JANET S. PRENDERGAST (D.O.)
1234, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
SUITE 3
FORT WAYNE, IN 468251545
Phone: (260) 373-9700
Fax: (260) 373-9740
Type: Mailing
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
1270 E STATE ROAD 205 STE 210
SUITE 210
COLUMBIA CITY, IN 467258506
Phone: (260) 248-9230
Fax: (260) 248-9249
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 231 Open Payments records for all available years, with a total value of $3,525.
Total Amount is formed as General ($3,525) + Research ($0) + Ownership ($0) = $3,525.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($893).
Total Amount
$3,525
General + Research + Ownership
Payments
231
Total payment records
General Amount
$3,525
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $893 |
| Lilly USA, LLC | $357 |
| Axsome Therapeutics, Inc. | $309 |
| PFIZER INC. | $305 |
| Takeda Pharmaceuticals U.S.A., Inc. | $157 |
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: 2008-02-20
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 |
|---|---|---|---|---|
| I20080220000160 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 188 | 138 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 67 | $0 |
| 83036 | Hemoglobin a1c level | 37 | 33 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 34 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 24 | 24 | $0 |
Insurance plans in this area (ZIP 46825)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IN | 90670 | Pneumococcal vaccine for injection into muscle | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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