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MS. KATHY L PENDERGRAFT
NPI 1083055933
Behavior Analyst in Antlers, OK

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
112 N HIGH ST, ANTLERS, OK 74523(580) 298-3001(580) 298-5357 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Kathy L Pendergraft NPPES

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

MS. KATHY L PENDERGRAFT (NPI 1083055933) is an individual behavior analyst provider in Antlers, Oklahoma and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083055933
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMS. KATHY L PENDERGRAFT
Location Address112 N HIGH STAntlers, OK 74523-2250
Mailing AddressPo Box 309Antlers, OK 74523-0309 · (580) 298-3001 · Fax (580) 298-5357
Phone(580) 298-3001
Fax(580) 298-5357
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 8, 2013
Last NPPES UpdateJanuary 27, 2020
✔ NPI 1083055933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedCounselorTaxonomy 101Y00000X
112 N HIGH ST, Antlers, OK 74523
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

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

Ms. Kathy L Pendergraft 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 ID1557714169
PECOS Enrollment IDI20240131001162
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 Kathy Pendergraft reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quest Mhsa
20 mi
Community/Behavioral Health
307 SW B ST
Antlers, OK 74523
  • Reassigned Medicare billing, Oklahoma enrollment
  • 39 clinicians in this Medicare group
NPI 1174776819 (580) 298-3001

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

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.

GEORGE E WILLIAMSON
Behavior Analyst
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001
KRISTI J GRAHAM
Psychologist (Rehabilitation)
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001
KATHY GARDENHIRE
Behavior Analyst
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001
LISA AUSTIN
Behavior Analyst
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001
CARLA M BURTON
Behavior Analyst
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001
AYESHA K FACTORY
Behavior Analyst
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001
TOMMY L PERCIVAL
Behavior Analyst
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001
JENICE JONES
Psychologist (Rehabilitation)
112 N HIGH ST
ANTLERS, OK 74523
Pushmataha County (580) 298-3001

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 Kathy Pendergraft's NPI number?

The NPI number for Kathy Pendergraft is 1083055933. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Kathy Pendergraft located?

Kathy Pendergraft practices at 112 N High St, Antlers, OK 74523. The listed phone number is (580) 298-3001.

What is Kathy Pendergraft's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Is Kathy Pendergraft enrolled in Medicare?

Yes. Kathy Pendergraft 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 organization bills Medicare for Kathy Pendergraft's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Pendergraft reassigns Medicare benefits to Quest Mhsa (Antlers, OK). 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 Kathy Pendergraft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Pendergraft accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Kathy Pendergraft 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.

When was this NPI record last updated?

The NPPES record for Kathy Pendergraft was last updated on January 27, 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.