CHRISTINA PRENDERGAST (D.O.) – Obstetrics & Gynecology Physician, NPI 1124475322

CHRISTINA PRENDERGAST (D.O.) is a healthcare provider. based in Brenham, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. S4671 (TX). The NPI Number for CHRISTINA PRENDERGAST (D.O.) is 1124475322

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA PRENDERGAST (D.O.)
NPI
1124475322
Phone
(979) 421-2000
Address
604 HIGHWAY 290 W
Enumeration Date
17 May 2016
Last Update Date
5 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9792076550
Graduation Year
2016 (10 years ago)
PAC ID
3971899733
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20200717001123
Address ID
TX778458696CO1280XRDXX301

Contacts

Secure Messaging
cprendergast585101@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

3,165 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for CHRISTINA PRENDERGAST (D.O.)

  • 604 HIGHWAY 290 W

    BRENHAM, TX 778335432

    Phone: (979) 421-2000

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-8800

    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: 2020-07-17

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
I20200717001123IObstetrics/GynecologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2821$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1313$0
View full utilization report →

Insurance plans in this area (ZIP 77833)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for CHRISTINA PRENDERGAST (D.O.)?
Save NPI 1124475322 if you need a stable reference for CHRISTINA PRENDERGAST (D.O.).
Does this profile mean CHRISTINA PRENDERGAST (D.O.) is currently active?
Yes — CHRISTINA PRENDERGAST (D.O.) appears active in the national provider directory.
What kind of provider is CHRISTINA PRENDERGAST (D.O.)?
The page reflects Obstetrics & Gynecology Physician for CHRISTINA PRENDERGAST (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place CHRISTINA PRENDERGAST (D.O.)?
The snapshot lists Brenham, Texas for CHRISTINA PRENDERGAST (D.O.); download NPPES for the complete set.
Is CHRISTINA PRENDERGAST (D.O.) a real provider?
This page reflects official NPPES data for NPI 1124475322. Always confirm identity and privileges with the practice and licensing boards.

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