DR. THOMAS PENDERGAST (M.D.) – Anesthesiology Physician, NPI 1407849094

DR. THOMAS PENDERGAST (M.D.) is a healthcare provider. based in Terre haute, Indiana. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01039492 (IN). The NPI Number for DR. THOMAS PENDERGAST (M.D.) is 1407849094

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS PENDERGAST (M.D.)
NPI
1407849094
Phone
(812) 231-4608
Address
1421 N 7TH ST
Enumeration Date
29 August 2005
Last Update Date
25 September 2008

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2174654141
Graduation Year
1990 (36 years ago)
PAC ID
4385684976
Group Practice PAC ID
7315933827
Professional Enrollment ID
I20220224000966
Address ID
IL619442460PA721XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

183 PAIN MANAGEMENT in IN

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Provider Addresses for DR. THOMAS PENDERGAST (M.D.)

  • 1421, North 7th Street, Terre Haute, Vigo County, Indiana, 47807, United States

    TERRE HAUTE, IN 478071005

    Phone: (812) 231-4608

    Fax: (812) 231-4675

    Type: Location

  • PO BOX 3036

    INDIANAPOLIS, IN 462063036

    Phone: (812) 231-4608

    Fax: (812) 231-4675

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $4,050.

Total Amount is formed as General ($4,050) + Research ($0) + Ownership ($0) = $4,050.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($2,496).

Total Amount

$4,050

General + Research + Ownership

Payments

68

Total payment records

General Amount

$4,050

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050503000900IAnesthesiologyINTBD
I20220224000966IAnesthesiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,810303$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml407300$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance147122$0
62323Injection of substance into lower spine canal using imaging guidance129116$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level7750$0
View full utilization report →

Insurance plans in this area (ZIP 47807)

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Provider's Procedures

DR. THOMAS PENDERGAST (M.D.) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIN62311Injections of substances into lower or sacral spine8476
ANESTHESIOLOGYIN64493Injections of lower or sacral spine facet joint using imaging guidance6843

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315933827View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
-IL
A N E S T H E S I O L O G YIN
Nurse PractitionerIL
P S Y C H I A T R YIN
Family PracticeIL
Emergency MedicineIL

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Frequently asked questions

How do I look up DR. THOMAS PENDERGAST (M.D.) by NPI?
Use NPI 1407849094 when you need to reference DR. THOMAS PENDERGAST (M.D.) in forms, claims, or directories.
Is DR. THOMAS PENDERGAST (M.D.)'s NPI currently valid?
The extract we use shows DR. THOMAS PENDERGAST (M.D.) as active.
Can you summarize DR. THOMAS PENDERGAST (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. THOMAS PENDERGAST (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. THOMAS PENDERGAST (M.D.)'s primary listing?
We display Terre Haute, Indiana because that is what the record indicates for DR. THOMAS PENDERGAST (M.D.).
How can I contact DR. THOMAS PENDERGAST (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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