SEAN JOSEPH PRENDERGAST
NPI 1447606231
Emergency Medicine in Lebanon, OR

Q: 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.

Q: What is Sean Prendergast's specialty?

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

Q: 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.

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment

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: August 16, 2026.

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

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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, is affiliated with Samaritan Lebanon Community Hospital, and is a graduate of Other (2016).

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

Medical School CMSOtherGraduated 2016

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Joseph Prendergast 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 ID6800181348

PECOS Enrollment IDI20190816000752

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.

Hospital Affiliations CMS Care Compare

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

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381323

Location525 N Santiam HighwayLebanon, OR 97355 · Linn County

Emergency services Birthing friendly

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

Quality

87.18

Promoting Interoperability

100

Improvement Activities

Cost

91.87

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