DILLON PENDER (MD) – Family Medicine Physician, NPI 1639666571

DILLON PENDER (MD) is a healthcare provider. based in Glasgow, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. R4843 (KY). The NPI Number for DILLON PENDER (MD) is 1639666571

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DILLON PENDER (MD)
NPI
1639666571
Phone
(270) 651-4865
Address
1325 N RACE ST
Enumeration Date
17 April 2018
Last Update Date
10 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2706511111
Graduation Year
2017 (9 years ago)
PAC ID
7810224326
Group Practice PAC ID
0345694766
Professional Enrollment ID
I20200430002744
Address ID
KY421411300GL310XXBLVD600

Contacts

Secure Messaging
dpender@tjsamson.direct-ci.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

886 EMERGENCY MEDICINE in KY

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Provider Addresses for DILLON PENDER (MD)

  • 1325, North Race Street, Glasgow, Barren County, Kentucky, 42141, United States

    GLASGOW, KY 421413427

    Phone: (270) 651-4865

    Type: Location

  • 1325 N Race St

    Glasgow, KY 421413427

    Phone: (270) 651-4865

    Type: Location

  • 310 N L ROGERS WELLS BLVD

    GLASGOW, KY 421411300

    Phone: (270) 659-5555

    Type: Location

  • 170, Winter Park Place, Hardin County, Kentucky, 42701, United States

    ELIZABETHTOWN, KY 427018396

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200430002744IEmergency MedicineKYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes259128$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes184109$0
99239Hospital discharge day management, more than 30 minutes154149$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes130126$0
99291Critical care, first 30-74 minutes4629$0
View full utilization report →

Insurance plans in this area (ZIP 42141)

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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: 0345694766View full group profile
NameSpecialtyState
Family PracticeKY
Family Practice, Emergency MedicineKY
Family PracticeSC
Nurse PractitionerKY
Internal MedicineNJ
Family PracticeKY
Nurse PractitionerSC
Nurse PractitionerKY
Family PracticeKY
Physician AssistantTN

Reviews

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Frequently asked questions

Does DILLON PENDER (MD) have a public NPI I can cite?
Public records show DILLON PENDER (MD) under NPI 1639666571.
Is DILLON PENDER (MD) currently accepting referrals based on NPI status?
Registry metadata lists DILLON PENDER (MD) as active.
How should patients interpret DILLON PENDER (MD)'s specialty?
The extract shows Family Medicine Physician for DILLON PENDER (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DILLON PENDER (MD)?
DILLON PENDER (MD) shows a connection to Glasgow, Kentucky in registry-derived data.
Can I export DILLON PENDER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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