MR. BRIAN TRAVIS PENDARVIS ARNP
NPI 1417952904
Nurse Practitioner - Family in Noble, OK

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
205 SOUTH MAIN STREET, NOBLE, OK 73068(405) 872-5403(405) 872-5407 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brian Travis Pendarvis Arnp NPPES

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

MR. BRIAN TRAVIS PENDARVIS ARNP (NPI 1417952904) is an individual family provider in Noble, Oklahoma, licensed in Oklahoma (R0067224) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of University Of Oklahoma College Of Medicine (2004).

NPPES Registry Identity

NPI1417952904
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BRIAN TRAVIS PENDARVISCredential: ARNP
Location Address205 SOUTH MAIN STREETNoble, OK 73068
Mailing Address205 South Main Street, Po Box 2096Noble, OK 73068 · (405) 872-5403 · Fax (405) 872-5407
Fax(405) 872-5407
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2004
Enumeration DateJune 20, 2005
Last NPPES UpdateJanuary 30, 2014
NPI 1417952904 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 OK · R0067224
205 SOUTH MAIN STREET, Noble, OK 73068

Other Identifiers 3

Medicare UPINQ36176
Medicaid200043980AOK
Medicare ID-Type Unspecified243505300OK

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

Mr. Brian Travis Pendarvis Arnp 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 ID9032162854
PECOS Enrollment IDI20050222000150
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.

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.
256 services108 patients

Hospital Affiliations CMS Care Compare

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73068 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 2

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
6 suppliers22 claims41 services$6.58 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers16 claims16 services$19.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Brian Pendarvis's NPI number?

The NPI number for Brian Pendarvis is 1417952904. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Brian Pendarvis located?

Brian Pendarvis practices at 205 South Main Street, Noble, OK 73068. The listed phone number is (405) 872-5403.

What is Brian Pendarvis's specialty?

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

Is Brian Pendarvis enrolled in Medicare?

Yes. Brian Pendarvis 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 Brian Pendarvis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Brian Pendarvis 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.

Is Brian Pendarvis affiliated with any hospitals?

According to CMS data, Brian Pendarvis is affiliated with Norman Regional.

When was this NPI record last updated?

The NPPES record for Brian Pendarvis was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.