MARY ROSALIE PENA-PRIDMORE MD
NPI 1336240837
Family Medicine in Yuba City, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
355 SAMUEL DR, YUBA CITY, CA 95991(530) 674-9200(530) 674-5667 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Nov 6, 2018 (2 updates tracked since 2018).

About Mary Rosalie Pena-pridmore Md NPPES

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

MARY ROSALIE PENA-PRIDMORE MD (NPI 1336240837) is an individual family medicine provider in Yuba City, California, licensed in California (C51623) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1336240837
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY ROSALIE PENA-PRIDMORECredential: MD
Location Address355 SAMUEL DRYuba City, CA 95991-6324
Mailing Address1114 Yuba St Rm 144Marysville, CA 95901-4838 · (530) 749-3242 · Fax (530) 741-9274
Fax(530) 674-5667
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1336240837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · C51623 Licensed in CA · 51623
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
355 SAMUEL DR, Yuba City, CA 95991

Other Names 1

Professional Name (2)Mary Rosalie Pena-pridmore Md

Secondary Practice Locations 2

Location 1724 5th StMarysville, CA 95901-5646 · Phone (530) 743-7413 · Fax (530) 743-7971
Location 29980 Live Oak BlvdLive Oak, CA 95953-2334 · Phone (530) 749-3242 ext. 1331 · Fax (530) 749-3248

Other Identifiers 1

MedicaidEXE70043FCA

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

Mary Rosalie Pena-pridmore 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 ID6103881933
PECOS Enrollment IDI20041122000351, I20081014000152
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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95991 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
10 suppliers95 claims194 services$4.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers57 claims70 services$0.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$15.84 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$38.23 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier24 claims24 services$776.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$80.96 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
355 SAMUEL DR
YUBA CITY, CA 95991
Pharmacy (Community/Retail Pharmacy)
355 SAMUEL DR
YUBA CITY, CA 95991
Family Medicine
355 SAMUEL DR
YUBA CITY, CA 95991

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 Mary Pena-pridmore's NPI number?

The NPI number for Mary Pena-pridmore is 1336240837. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Mary Rosalie Pena-Pridmore MD.

Where is Mary Pena-pridmore located?

Mary Pena-pridmore practices at 355 Samuel Dr, Yuba City, CA 95991. The listed phone number is (530) 674-9200.

What is Mary Pena-pridmore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Pena-pridmore enrolled in Medicare?

Yes. Mary Pena-pridmore 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.

When was this NPI record last updated?

The NPPES record for Mary Pena-pridmore was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.