DR. CRAIG L PENDERGRASS (DO) – Family Medicine Physician, NPI 1700835469
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for DR. CRAIG L PENDERGRASS (DO)
PO BOX 220
NEOSHO, MO 648500220
Phone: (417) 451-4545
Fax: (417) 451-4546
Type: Mailing
117, East Hickory Street, Neosho, Newton County, Missouri, 64850, United States
NEOSHO, MO 648501806
Phone: (417) 451-4545
Fax: (417) 451-4546
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 219 Open Payments records for all available years, with a total value of $3,212.
Total Amount is formed as General ($3,212) + Research ($0) + Ownership ($0) = $3,212.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($538).
Total Amount
$3,212
General + Research + Ownership
Payments
219
Total payment records
General Amount
$3,212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $538 |
| Novo Nordisk Inc | $453 |
| ABBVIE INC. | $307 |
| Amgen Inc. | $293 |
| GlaxoSmithKline, LLC. | $161 |
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: 2005-08-08
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 |
|---|---|---|---|---|
| I20050808000189 | I | Family Practice | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64850)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 85610 | Blood test, clotting time | 60 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Geriatric Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | MO | |
| Clinical Social Worker | MO | |
| - | OK | |
| Geriatric Medicine, Family Practice | MO | |
| Clinical Social Worker | MO | |
| - | MO |
Reviews
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