MICHAEL LOWRIE PENDLETON (M.D.) – Family Medicine Physician, NPI 1821073701

MICHAEL LOWRIE PENDLETON (M.D.) is a healthcare provider. based in The dalles, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 22825 (KY). The NPI Number for MICHAEL LOWRIE PENDLETON (M.D.) is 1821073701

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL LOWRIE PENDLETON (M.D.)
NPI
1821073701
Phone
(541) 298-4160
Address
1040 WEBBER ST
Enumeration Date
13 December 2005
Last Update Date
22 December 2017

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
5413952911
Graduation Year
1980 (46 years ago)
PAC ID
9133307606
Group Practice PAC ID
0244321305
Professional Enrollment ID
I20171228000949
Address ID
OR970379208MA1605XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for MICHAEL LOWRIE PENDLETON (M.D.)

  • 1040, Webber Street, The Dalles, Wasco County, Oregon, 97058, United States

    THE DALLES, OR 970583749

    Phone: (541) 298-4160

    Type: Mailing

  • 849, Pacific Avenue, Mountain Vista, Hood River, Hood River County, Oregon, 97031, United States

    HOOD RIVER, OR 970311956

    Phone: (541) 308-8370

    Fax: (541) 308-0754

    Type: Location

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: 2017-12-28

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
I20171228000949IFamily PracticeORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97058)

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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: 0244321305View full group profile
NameSpecialtyState
Internal MedicineOR
Nurse Practitioner, Family PracticeWY

Reviews

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Frequently asked questions

Does MICHAEL LOWRIE PENDLETON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL LOWRIE PENDLETON (M.D.) uses 1821073701.
Is MICHAEL LOWRIE PENDLETON (M.D.) listed as active for patients and plans?
The listing shows MICHAEL LOWRIE PENDLETON (M.D.) as active in the NPI system.
What healthcare role does MICHAEL LOWRIE PENDLETON (M.D.) hold?
Scheduling teams often label MICHAEL LOWRIE PENDLETON (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL LOWRIE PENDLETON (M.D.) on a map?
Expect The Dalles, Oregon as a primary anchor for MICHAEL LOWRIE PENDLETON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.