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MR. MICHAEL L PENDLETON SR. APRN
NPI 1053640698
Nurse Practitioner - Family in Glasgow, KY

Active since December 10, 2009PECOS Enrolled
91.42/100
CMS Quality Rating
1412 N RACE ST, GLASGOW, KY 42141(270) 629-6333(270) 629-6334 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Michael L Pendleton Sr. Aprn NPPES

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

MR. MICHAEL L PENDLETON SR. APRN (NPI 1053640698) is an individual family provider in Glasgow, Kentucky, licensed in Kentucky (6291P) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053640698
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL L PENDLETON SR.Credential: APRN
Location Address1412 N RACE STGlasgow, KY 42141-3473
Mailing AddressPo Box 906Glasgow, KY 42142-0906 · (270) 678-6333 · Fax (270) 678-7333
Phone(270) 629-6333
Fax(270) 629-6334
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 10, 2009
Last NPPES UpdateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1053640698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 6291P
1412 N RACE ST, Glasgow, KY 42141
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael L Pendleton Sr. Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264569227
PECOS Enrollment IDI20100422000618
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 Reassignments

4

Medicare enrollment records show Michael Pendleton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pendleton Family Care
Same address
Family
1412 N RACE ST
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
NPI 1417324252 (270) 629-6333
Fast Pace Kentucky PLLC
43 mi
Family
1475 NASHVILLE RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 427 clinicians in this Medicare group
NPI 1457716706 (270) 813-1111
Brock Medical, LLC
99 mi
Nurse Practitioner
1752 HIGHWAY 192 W, SUITE 1
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 362 clinicians in this Medicare group
NPI 1023379815 (606) 330-0055
Upperline Healthcare, PC
255 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Kentucky enrollment
  • 270 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
242 services84 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
121 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services61 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
102 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
97 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.13
Improvement Activities40
Cost100

Reported Quality Measures

Appropriate Testing for Pharyngitis
0%47 patients1/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%80 patients
Controlling High Blood Pressure
77%316 patients4/55-star benchmark: 91%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%4,766 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 37% · 855 patients
Patients screened: 47% · 855 patients
39%133 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers21 claims36 services$5.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$108.02 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

PENDLETON FAMILY CARE
Nurse Practitioner (Family)
1412 N RACE ST
GLASGOW, KY 42141
Barren County (270) 629-6333
KAYLA BETH SULLIVAN
Nurse Practitioner (Family)
1412 N RACE ST
GLASGOW, KY 42141
Barren County (270) 629-6333

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 Michael Pendleton's NPI number?

The NPI number for Michael Pendleton is 1053640698. It was assigned to this individual provider in the NPPES registry on December 10, 2009.

Where is Michael Pendleton located?

Michael Pendleton practices at 1412 N Race St, Glasgow, KY 42141. The listed phone number is (270) 629-6333.

What is Michael Pendleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Pendleton enrolled in Medicare?

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

Which organizations bill Medicare for Michael Pendleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pendleton reassigns Medicare benefits to 4 organizations: Pendleton Family Care (Glasgow, KY), Fast Pace Kentucky PLLC (Franklin, KY), Brock Medical, LLC (London, KY) and Upperline Healthcare, PC (Hoover, AL). Each 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 Michael Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Pendleton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Michael Pendleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Pendleton affiliated with any hospitals?

According to CMS data, Michael Pendleton is affiliated with T J Samson Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Pendleton was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.