DR. MELISSA PENDERGRASS M.D.
NPI 1649463118
Obstetrics & Gynecology in Tualatin, OR

Active since August 19, 2007PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
19875 SW 65TH AVE STE 250, TUALATIN, OR 97062(503) 612-5260 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Melissa Pendergrass M.d. NPPES

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

DR. MELISSA PENDERGRASS M.D. (NPI 1649463118) is an individual obstetrics & gynecology provider in Tualatin, Oregon, licensed in Illinois (125-053708) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1649463118
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MELISSA PENDERGRASSCredential: M.D.
Location Address19875 SW 65TH AVE STE 250Tualatin, OR 97062-8353
Mailing Address19875 Sw 65th Ave Ste 250Tualatin, OR 97062-8353 · (503) 612-5260
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 19, 2007
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
NPI 1649463118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 125-053708
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedGeneral Acute Care Hospital · WomenTaxonomy 282NW0100X
19875 SW 65TH AVE STE 250, Tualatin, OR 97062

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

Dr. Melissa Pendergrass M.d. 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 ID1355584913
PECOS Enrollment IDI20130829000233
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.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
19875 SW 65TH AVE STE 250
TUALATIN, OR 97062

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 Melissa Pendergrass's NPI number?

The NPI number for Melissa Pendergrass is 1649463118. It was assigned to this individual provider in the NPPES registry on August 19, 2007.

Where is Melissa Pendergrass located?

Melissa Pendergrass practices at 19875 SW 65th Ave Ste 250, Tualatin, OR 97062. The listed phone number is (503) 612-5260.

What is Melissa Pendergrass's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Melissa Pendergrass enrolled in Medicare?

Yes. Melissa Pendergrass 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 Melissa Pendergrass accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Melissa Pendergrass 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 Melissa Pendergrass was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.