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DR. GENE DAVID PRENDERGAST D.O.
NPI 1144370446
Orthopaedic Surgery in Green Valley, AZ

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
4485 S 1-19 FRONTAGE ROAD, SUITE 100, GREEN VALLEY, AZ 85614(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gene David Prendergast D.o. NPPES

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

DR. GENE DAVID PRENDERGAST D.O. (NPI 1144370446) is an individual orthopaedic surgery provider in Green Valley, Arizona, licensed in New Mexico (A-1607-11) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital A Div Of Taos Health Systems, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1144370446
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. GENE DAVID PRENDERGASTCredential: D.O.
Location Address4485 S 1-19 FRONTAGE ROAD, SUITE 100Green Valley, AZ 85614
Mailing Address18444 N 25th Ave, Suite 310Phoenix, AZ 85023-1261 · (866) 974-2673 · Fax (866) 939-2673
Phone(866) 974-2673
Fax(866) 939-2673
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 22, 2015
✔ NPI 1144370446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NM · A-1607-11
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4485 S 1-19 FRONTAGE ROAD, Green Valley, AZ 85614
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Other Identifiers 1

Medicare UPIND47124AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gene David Prendergast D.o. 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 ID941336812
PECOS Enrollment IDI20110912000739
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.

Areas of Expertise CMS Part B claims

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 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.
41 services27 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number321310
Location1397 Weimer RoadTaos, NM 87571 · Taos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85614 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.56
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,563 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%458 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 251 patients
Patients tobacco: 3% · 40 patients
73%251 patients3/55-star benchmark: 98%
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.

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 Gene Prendergast's NPI number?

The NPI number for Gene Prendergast is 1144370446. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Gene Prendergast located?

Gene Prendergast practices at 4485 S 1-19 Frontage Road Suite 100, Green Valley, AZ 85614. The listed phone number is (866) 974-2673.

What is Gene Prendergast's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gene Prendergast enrolled in Medicare?

Yes. Gene Prendergast 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.

Is Gene Prendergast affiliated with any hospitals?

According to CMS data, Gene Prendergast is affiliated with Holy Cross Hospital A Div Of Taos Health Systems.

When was this NPI record last updated?

The NPPES record for Gene Prendergast was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.