DIONNA MARIE PENDLETON M.D.
NPI 1063668994
Family Medicine in Merrill, WI

Active since August 12, 2008PECOS EnrolledAccepts Medicare Assignment
601 S CENTER AVE, MERRILL, WI 54452(715) 539-2350(715) 539-2434 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dionna Marie Pendleton M.d. NPPES

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

DIONNA MARIE PENDLETON M.D. (NPI 1063668994) is an individual family medicine provider in Merrill, Wisconsin, licensed in Wisconsin (54962-20) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Indiana University School Of Medicine (2007).

NPPES Registry Identity

NPI1063668994
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIONNA MARIE PENDLETONCredential: M.D.
Location Address601 S CENTER AVEMerrill, WI 54452-3404
Mailing Address601 S Center AveMerrill, WI 54452-3404 · (715) 539-2350 · Fax (715) 539-2434
Fax(715) 539-2434
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateAugust 12, 2008
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1063668994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 54962-20✔ Licensed in IL · 036.124091
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 036.124091 (IL)
601 S CENTER AVE, Merrill, WI 54452

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dionna Marie Pendleton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183817752
PECOS Enrollment IDI20101112000683
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

7

Medicare enrollment records show Dionna Pendleton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1400 E. GOLF RD, SUITE 118
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
Clinic/Center
1300 FRANKLIN AVE STE 100
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 71 clinicians in this Medicare group
Hospitalist
2200 E WASHINGTON ST
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
315 services161 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
137 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services60 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54452 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

Dentist
601 S CENTER AVE
MERRILL, WI 54452
Physical Therapy Assistant
601 S CENTER AVE
MERRILL, WI 54452
Radiology (Diagnostic Radiology)
601 S CENTER AVE
MERRILL, WI 54452
Nurse Anesthetist, Certified Registered
601 S CENTER AVE
MERRILL, WI 54452
Emergency Medicine
601 S CENTER AVE
MERRILL, WI 54452
General Acute Care Hospital (Critical Access)
601 S CENTER AVE
MERRILL, WI 54452
Physician Assistant
601 S CENTER AVE
MERRILL, WI 54452
Physician Assistant
601 S CENTER AVE
MERRILL, WI 54452

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 Dionna Pendleton's NPI number?

The NPI number for Dionna Pendleton is 1063668994. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Where is Dionna Pendleton located?

Dionna Pendleton practices at 601 S Center Ave, Merrill, WI 54452. The listed phone number is (715) 539-2350.

What is Dionna Pendleton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dionna Pendleton enrolled in Medicare?

Yes. Dionna Pendleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dionna Pendleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dionna Pendleton reassigns Medicare benefits to 7 organizations: Mount Sinai Community Foundation (Des Plaines, IL), Lutheran General Hospital (Park Ridge, IL), Osf Multi-Specialty Group (Peoria, IL), Carle West Physician Group Inc (Normal, IL), Carle Bromenn Medical Center (Normal, IL) and 2 more organizations, listed in the Medicare section above. 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 Dionna Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dionna Pendleton affiliated with any hospitals?

According to CMS data, Dionna Pendleton is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Dionna Pendleton was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.