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DR. ADAM PHILLIP PENDLETON M.D.
NPI 1013350982
Psychiatry & Neurology - Psychiatry in Holladay, UT

Active since April 10, 2013PECOS Enrolled
6550 S MILLROCK DR STE 125, HOLLADAY, UT 84121(801) 821-2333(801) 901-1194 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2020, Jul 10, 2020, Sep 27, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Adam Phillip Pendleton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM PHILLIP PENDLETON M.D. (NPI 1013350982) is an individual psychiatry provider in Holladay, Utah, licensed in Utah (10824745-1205) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1013350982
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ADAM PHILLIP PENDLETONCredential: M.D.
Location Address6550 S MILLROCK DR STE 125Holladay, UT 84121-5794
Mailing Address3300 N Triumph Blvd Ste 500Lehi, UT 84043-6475 · (801) 821-2781 · Fax (801) 901-1194
Phone(801) 821-2333
Fax(801) 901-1194
Sole ProprietorNo
Enumeration DateApril 10, 2013
Last NPPES UpdateNovember 4, 20204 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1013350982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 10824745-1205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6550 S MILLROCK DR STE 125, Holladay, UT 84121
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12989 W Maple Loop Dr Ste 230Lehi, UT 84043-7415 · Phone (801) 821-2333 · Fax (801) 901-1194
Location 23300 N Triumph Blvd Ste 500Lehi, UT 84043-6475 · Phone (801) 821-2333 · Fax (801) 901-1194
Location 34905 S 1500 WRiverdale, UT 84405 · Phone (801) 821-2781 · Fax (801) 901-1194
Location 44919 S 1500 WRiverdale, UT 84405 · Phone (801) 821-2781 · Fax (801) 901-1194

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Phillip Pendleton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Adam Pendleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salt Lake Behavioral Health, LLC
5.4 mi
Psychiatric Hospital
3802 SOUTH 700 EAST
Salt Lake City, UT 84106
  • Reassigned Medicare billing, Utah enrollment
  • 28 clinicians in this Medicare group
NPI 1295066116 (801) 264-6731

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN VINCENT TEYNOR MD
Psychiatry & Neurology (Psychiatry)
6550 S MILLROCK DR STE 125
HOLLADAY, UT 84121
Salt Lake County (801) 821-2333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Pendleton's NPI number?

The NPI number for Adam Pendleton is 1013350982. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Adam Pendleton located?

Adam Pendleton practices at 6550 S Millrock Dr Ste 125, Holladay, UT 84121. The listed phone number is (801) 821-2333.

What is Adam Pendleton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Adam Pendleton enrolled in Medicare?

Yes. Adam Pendleton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adam Pendleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Pendleton reassigns Medicare benefits to Salt Lake Behavioral Health, LLC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adam Pendleton was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.