DR. SCOTT D. PENDERGAST (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1386638682
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
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Provider Addresses for DR. SCOTT D. PENDERGAST (M.D.)
3401, Enterprise Parkway, Hampshire Park Country Estates, Beachwood, Cuyahoga County, Ohio, 44122, United States
SUITE 300
BEACHWOOD, OH 441227341
Phone: (216) 831-5700
Fax: (216) 831-1959
Type: Location
3401, Enterprise Parkway, Beachwood, Cuyahoga County, Ohio, 44122, United States
SUITE 300
BEACHWOOD, OH 441227341
Phone: (216) 831-5700
Fax: (216) 831-1959
Type: Mailing
24075 COMMERCE PARK
BEACHWOOD, OH 441225846
Phone: (216) 831-5700
Fax: (216) 831-1959
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,568.
Total Amount is formed as General ($1,568) + Research ($0) + Ownership ($0) = $1,568.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($369).
Total Amount
$1,568
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $369 |
| Alimera Sciences, Inc. | $260 |
| Dutch Ophthalmic, USA | $252 |
| Genentech USA, Inc. | $186 |
| Coherus Biosciences Inc. | $135 |
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: 2005-03-07
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 |
|---|---|---|---|---|
| I20050307000501 | I | Ophthalmology | OH | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 19,140 | 48 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 5,086 | 380 | $0 |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 3,240 | 87 | $0 |
| 92134 | Imaging of retina | 3,210 | 961 | $0 |
| 67028 | Injection of drug into eye | 3,070 | 540 | $0 |
Insurance plans in this area (ZIP 44122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OH | |
| Physician Assistant | OH | |
| O P H T H A L M O L O G Y | OH | |
| Physician Assistant | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH |
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