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DR. THOMAS CARL PENDLETON M.D.
NPI 1265543482
Internal Medicine in Bessemer, AL

Active since August 31, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 01D0890524 · Microscopy
96.24/100
CMS Quality Rating
985 9TH AVE SW, SUITE 406, BESSEMER, AL 35022(205) 481-7470(205) 481-7469 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Carl Pendleton M.d. NPPES

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

DR. THOMAS CARL PENDLETON M.D. (NPI 1265543482) is an individual internal medicine provider in Bessemer, Alabama, licensed in Alabama (13310) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 31, 2027, and is a graduate of University Of Alabama School Of Medicine (1984).

NPPES Registry Identity

NPI1265543482
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS CARL PENDLETONCredential: M.D.
Location Address985 9TH AVE SW, SUITE 406Bessemer, AL 35022-4500
Mailing Address985 9th Ave Sw, Suite 406Bessemer, AL 35022-4500 · (205) 481-7470 · Fax (205) 481-7469
Phone(205) 481-7470
Fax(205) 481-7469
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1984
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265543482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 13310
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.
985 9TH AVE SW, Bessemer, AL 35022
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Other Identifiers 4

Other51080542AL · Blue Cross/blue Shield
Medicare UPINE14406AL
Medicare ID-Type Unspecified000080542AL
Medicaid000080542AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

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. Thomas Carl 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 ID5294839023
PECOS Enrollment IDI20070426000049
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D0890524

Dr Thomas C Pendleton · Bessemer, AL
Active · expires Oct 31, 2027
CLIA Number01D0890524
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorThomas C. Pendleton
Laboratory Phone(205) 481-7470
Laboratory LocationDr Thomas C Pendleton5000 Medical West Way, Suite 410, Bessemer, AL 35023
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
392 services346 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.
92 services46 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.
54 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35022 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%37 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims48 services$6.55 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims1,500 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$18.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JANE ANN GEHLSEN MD
Internal Medicine (Hematology & Oncology)
985 9TH AVE SW, SUITE 404
BESSEMER, AL 35022
Jefferson County (205) 481-8475
JAMES C RAINS JR MD PC
Ophthalmology
985 9TH AVE SW, SUITE 401
BESSEMER, AL 35022
Jefferson County (205) 481-7840
JULIE ANN ZITTERKOPF LARSON MD
Physical Medicine & Rehabilitation
985 9TH AVE SW
BESSEMER, AL 35022
Jefferson County (205) 481-7000
HOPE WEST P.C.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
985 9TH AVE SW, SUITE 201
BESSEMER, AL 35022
Jefferson County (205) 481-8555
METRO PODIATRY & SPORTS MEDICINE
Podiatrist (Foot Surgery)
985 9TH AVE SW, SUITE # 405
BESSEMER, AL 35022
Jefferson County (205) 481-8524
GARY EUGENE BOUTWELL CRNA
Nurse Anesthetist, Certified Registered
985 9TH AVE SW, SUITE 403
BESSEMER, AL 35022
Jefferson County (205) 481-8470
DR. JEFFERY L JONES MD
Internal Medicine (Gastroenterology)
985 9TH AVE SW, STE. 307
BESSEMER, AL 35022
Jefferson County (205) 481-7384
DR. RAFIQUE JAHAN MAHMOOD MD
Obstetrics & Gynecology
985 9TH AVE SW, SUITE 500
BESSEMER, AL 35022
Jefferson County (205) 481-7750

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 Thomas Pendleton's NPI number?

The NPI number for Thomas Pendleton is 1265543482. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Thomas Pendleton located?

Thomas Pendleton practices at 985 9th Ave SW Suite 406, Bessemer, AL 35022. The listed phone number is (205) 481-7470.

What is Thomas Pendleton's specialty?

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

Is Thomas Pendleton enrolled in Medicare?

Yes. Thomas 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.

Does Thomas Pendleton hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0890524) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thomas Pendleton accept?

Health plans from Blue Cross and Blue Shield of Alabama list Thomas Pendleton 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 Thomas Pendleton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.