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SEAN JOSEPH PRENDERGAST
NPI 1447606231
Emergency Medicine in Lebanon, OR

Active since May 11, 2016PECOS Enrolled
98.71/100
CMS Quality Rating
525 N SANTIAM HWY, LEBANON, OR 97355(541) 258-2101(541) 451-7862 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2020, Jun 10, 2019, May 11, 2016 (3 updates tracked since 2016).

About Sean Joseph Prendergast NPPES

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

SEAN JOSEPH PRENDERGAST (NPI 1447606231) is an individual emergency medicine provider in Lebanon, Oregon, licensed in Oregon (MD193346) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447606231
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSEAN JOSEPH PRENDERGAST
Location Address525 N SANTIAM HWYLebanon, OR 97355-4363
Mailing AddressPo Box 1193Corvallis, OR 97339-1193
Phone(541) 258-2101
Fax(541) 451-7862
Sole ProprietorNo
Enumeration DateMay 11, 2016
Last NPPES UpdateNovember 10, 20203 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1447606231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · MD193346
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
525 N SANTIAM HWY, Lebanon, OR 97355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Joseph Prendergast is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sean Prendergast reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid-Valley Healthcare, Inc.
Same address
Hematology & Oncology
525 N SANTIAM HWY STE D
Lebanon, OR 97355
  • Reassigned Medicare billing, Oregon enrollment
  • 416 clinicians in this Medicare group
NPI 1396005641 (541) 451-7462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97355 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

98.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.18
Promoting Interoperability100
Improvement Activities40
Cost91.87

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.

DR. REED E. PAULSON M.D.
Emergency Medicine
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-7115
DR. ROBERT D. WIMMER M.D.
Internal Medicine
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-6427
HEIDI ANN GLEN PHARM.D.
Pharmacist
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-7565
CHERYL TESCHNER LD
Dietitian, Registered
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 258-2101
ALYSSA JENSEN RT(R)
Technician/Technologist
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 258-2101
DR. GAIL C. DEFREES M.D.
Emergency Medicine
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-7115
KELLY ROSE BECKER DPT
Physical Therapist
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-7125
DR. DANIEL LEO SPRAGUE M.D., PH.D.
Emergency Medicine
525 N SANTIAM HWY
LEBANON, OR 97355
Linn County (541) 451-7115

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 Sean Prendergast's NPI number?

The NPI number for Sean Prendergast is 1447606231. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Sean Prendergast located?

Sean Prendergast practices at 525 N Santiam Hwy, Lebanon, OR 97355. The listed phone number is (541) 258-2101.

What is Sean Prendergast's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sean Prendergast enrolled in Medicare?

Yes. Sean Prendergast is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sean Prendergast's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Prendergast reassigns Medicare benefits to Mid-Valley Healthcare, Inc. (Lebanon, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Prendergast's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sean Prendergast was last updated on November 10, 2020. 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.