KELLY B. PENDERGRASS (M.D.) – Hematology & Oncology Physician, NPI 1639140221
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for KELLY B. PENDERGRASS (M.D.)
9200, Indian Creek Parkway, Overland Park, Johnson County, Kansas, 66210, United States
BUILDING 9, SUITE 300
OVERLAND PARK, KS 662102002
Phone: (913) 574-2800
Fax: (913) 574-2336
Type: Mailing
4881, Northeast Goodview Circle, Executive Lakes Center, Lee's Summit, Jackson County, Missouri, 64064, United States
LEES SUMMIT, MO 640641996
Phone: (913) 574-2350
Fax: (913) 574-2413
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $55,228.
Total Amount is formed as General ($55,228) + Research ($0) + Ownership ($0) = $55,228.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($55,228).
Total Amount
$55,228
General + Research + Ownership
Payments
52
Total payment records
General Amount
$55,228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $55,228 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66210)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | KS | |
| Hematology/Oncology, Internal Medicine | KS | |
| - | IL | |
| P A T H O L O G Y | PA | |
| Nurse Practitioner | KS | |
| Hematology/Oncology, Internal Medicine | KS | |
| Nurse Practitioner | KS | |
| Radiation Oncology | MO | |
| Hematology/Oncology, Internal Medicine | KS | |
| Radiation Oncology | MO |
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.