JORDAN F PENDERGAST PA-C
NPI 1215423512
Physician Assistant in Scottsdale, AZ

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2022, May 9, 2022, Oct 15, 2019 and 1 more (4 updates tracked since 2018).

About Jordan F Pendergast Pa-c NPPES

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

JORDAN F PENDERGAST PA-C (NPI 1215423512) is an individual physician assistant in Scottsdale, Arizona, licensed in Arizona (9085) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215423512
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN F PENDERGASTCredential: PA-C
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499 · (480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 10, 2018
Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
NPI 1215423512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 9085 Licensed in WI · 4893-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

13400 E SHEA BLVD, Scottsdale, AZ 85259

Secondary Practice Locations 3

Location 110625 W North Ave Ste 102Milwaukee, WI 53226-2315 · Phone (414) 877-5350 · Fax (414) 877-5360
Location 2N73W27118 Kettle Cove LnSussex, WI 53089-1856 · Phone (414) 881-9940
Location 33330 N 2nd St Ste 401Phoenix, AZ 85012-2371 · Phone (602) 606-8949

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

Jordan F Pendergast Pa-c 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 ID6507198843
PECOS Enrollment IDI20220614001665
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
9,020 services30 patients
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.
581 services456 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
222 services198 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.
183 services175 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.
85 services31 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

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.

Physician Assistant (Medical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Physician Assistant (Surgical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Psychologist (Clinical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Dietitian, Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Psychologist (Clinical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Cardiovascular Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Pathology (Anatomic Pathology & Clinical Pathology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215423512, enumerated as an "individual" on July 10, 2018.

The provider is located at 13400 E SHEA BLVD SCOTTSDALE, AZ 85259 and the phone number is (480) 301-8000.

Physician Assistant with taxonomy code 363A00000X.