STEPHEN M PENDERGRAFT CRNP
NPI 1295362408
Nurse Practitioner - Family in Dothan, AL

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
4740 W MAIN ST, DOTHAN, AL 36305(334) 793-5000 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen M Pendergraft Crnp NPPES

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

STEPHEN M PENDERGRAFT CRNP (NPI 1295362408) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-127254) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2019).

NPPES Registry Identity

NPI1295362408
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHEN M PENDERGRAFTCredential: CRNP
Location Address4740 W MAIN STDothan, AL 36305-9423
Mailing Address95 Maree DrDaleville, AL 36322-6228 · (334) 477-1442
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019
Enumeration DateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
NPI 1295362408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-127254
4740 W MAIN ST, Dothan, AL 36305

Accepted 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

Stephen M Pendergraft Crnp 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 ID6103247762
PECOS Enrollment IDI20200608000012
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
138 services135 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
125 services119 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
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.

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 Stephen Pendergraft's NPI number?

The NPI number for Stephen Pendergraft is 1295362408. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Stephen Pendergraft located?

Stephen Pendergraft practices at 4740 W Main St, Dothan, AL 36305. The listed phone number is (334) 793-5000.

What is Stephen Pendergraft's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephen Pendergraft enrolled in Medicare?

Yes. Stephen 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.

What insurance does Stephen Pendergraft accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Stephen 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 Stephen Pendergraft was last updated on March 26, 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.