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DR. NIALL THOMAS PRENDERGAST MD
NPI 1225442890
Internal Medicine in Pittsburgh, PA

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3459 FIFTH AVENUE NW62 UPMC MONTEFIORE HOSPITAL, PITTSBURGH, PA 15213(412) 648-3098(314) 362-6959 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2021, May 24, 2018, Oct 31, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Niall Thomas Prendergast Md NPPES

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

DR. NIALL THOMAS PRENDERGAST MD (NPI 1225442890) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD474835) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Washington University School Of Medicine (2014).

NPPES Registry Identity

NPI1225442890
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIALL THOMAS PRENDERGASTCredential: MD
Location Address3459 FIFTH AVENUE NW62 UPMC MONTEFIORE HOSPITALPittsburgh, PA 15213
Mailing Address3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213 · (314) 454-8082 · Fax (314) 362-7491
Phone(412) 648-3098
Fax(314) 362-6959
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateJuly 15, 20214 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1225442890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD474835✔ Licensed in MO · 2017016679
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD474835 (PA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD474835 (PA)
3459 FIFTH AVENUE NW62 UPMC MONTEFIORE HOSPITAL, Pittsburgh, PA 15213
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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. Niall Thomas Prendergast Md 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 ID8729206669
PECOS Enrollment IDI20210802002862
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services21 patients
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.
31 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 Niall Prendergast's NPI number?

The NPI number for Niall Prendergast is 1225442890. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Niall Prendergast located?

Niall Prendergast practices at 3459 Fifth Avenue Nw62 Upmc Montefiore Hospital, Pittsburgh, PA 15213. The listed phone number is (412) 648-3098.

What is Niall Prendergast's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Niall Prendergast enrolled in Medicare?

Yes. Niall 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 Niall Prendergast affiliated with any hospitals?

According to CMS data, Niall Prendergast is affiliated with Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Niall Prendergast was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.