SALLY J PENDERGRASS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1740427178
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
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Provider Addresses for SALLY J PENDERGRASS (CRNA)
4500, South Garnett Road East, Tulsa, Oklahoma, 74146, United States
SUITE 300
TULSA, OK 741465229
Phone: (918) 664-9892
Fax: (918) 392-2945
Type: Mailing
Ascension Saint John Medical Center, 1923, South Utica Avenue, Swan Lake, Tulsa, Tulsa County, Oklahoma, 74104, United States
TULSA, OK 741046520
Phone: (918) 744-2345
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: PFIZER INC. ($57).
Total Amount
$77
General + Research + Ownership
Payments
3
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $57 |
| Medtronic, Inc. | $20 |
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: 2009-02-19
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 |
|---|---|---|---|---|
| I20090219000568 | I | Certified Registered Nurse Anesthetist (Crna) | OK | 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 |
|---|---|---|---|---|
| 00670 | Anesthesia for extensive surgery on spine | 46 | 46 | $0 |
| 00145 | Anesthesia for retinal surgery | 26 | 26 | $0 |
| 00630 | Anesthesia for other procedure on lower spine | 15 | 15 | $0 |
Insurance plans in this area (ZIP 74146)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| A N E S T H E S I O L O G Y | OK | |
| - | OK | |
| A N E S T H E S I O L O G Y | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK |
Reviews
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