CODY PENDERGRASS
NPI 1700279262
Clinical Neuropsychologist in Bozeman, MT

Q: What is Cody Pendergrass's NPI number?

The NPI number for Cody Pendergrass is 1700279262. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Q: What is Cody Pendergrass's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Pendergrass was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 09, 2015PECOS EnrolledAccepts Medicare Assignment

80.8/100

CMS Quality Rating

931 HIGHLAND BLVD STE 3210, BOZEMAN, MT 59715(406) 414-5000 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Apr 3, 2025, Jan 31, 2022 and 1 more (4 updates tracked since 2021).

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About Cody Pendergrass NPPES

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

CODY PENDERGRASS (NPI 1700279262) is an individual clinical neuropsychologist in Bozeman, Montana, licensed in Montana (PSY-PSY-LIC-3633) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700279262

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameCODY PENDERGRASS

Location Address931 HIGHLAND BLVD STE 3210Bozeman, MT 59715-6912

Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-5000

Phone(406) 414-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 9, 2015

Last NPPES UpdateApril 9, 20254 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1700279262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MT · PSY-PSY-LIC-3633

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

931 HIGHLAND BLVD STE 3210, Bozeman, MT 59715

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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

Cody Pendergrass 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 ID9739577644

PECOS Enrollment IDI20211026002765

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 5

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

159 services39 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

119 services50 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

91 services52 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

49 services48 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

39 services39 patients

Hospital Affiliations CMS Care Compare

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

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270057

Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County

Emergency services Birthing friendly

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.

80.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.76

Promoting Interoperability

Improvement Activities

Cost

58.08

Other Providers at the Same Location NPPES 11

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

DR. JOSHUA AARON KNAPPENBERGER M.D.

Psychiatry & Neurology (Neurology)