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DAVID J PENGILLY MD
NPI 1710099114
Family Medicine in Bismarck, ND

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1040 TACOMA AVENUE SOUTH, BISMARCK, ND 58504(701) 323-6990(701) 323-6994 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David J Pengilly Md NPPES

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

DAVID J PENGILLY MD (NPI 1710099114) is an individual family medicine provider in Bismarck, North Dakota, licensed in North Dakota (6620) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of University Of North Dakota School Of Medicine (1992).

NPPES Registry Identity

NPI1710099114
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID J PENGILLYCredential: MD
Location Address1040 TACOMA AVENUE SOUTHBismarck, ND 58504
Mailing AddressPo Box 5501Bismarck, ND 58506-5501 · (701) 323-6000 · Fax (701) 323-5709
Phone(701) 323-6990
Fax(701) 323-6994
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1992
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1710099114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · 6620
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1040 TACOMA AVENUE SOUTH, Bismarck, ND 58504
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Other Identifiers 3

Medicaid17617ND
Medicare UPINF57709ND
Medicare PIN12503ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.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

David J Pengilly Md 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 ID6406751981
PECOS Enrollment IDI20031208000068
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
880 services330 patients
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.
27 services24 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58504 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 14

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
14 suppliers118 claims215 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers34 claims35 services$0.98 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,378 services$1.43 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier17 claims17 services$38.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$105.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier14 claims27 services$38.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SHERRY L STEIN MD
Family Medicine
1040 TACOMA AVENUE SOUTH
BISMARCK, ND 58504
Burleigh County (701) 323-6990
BRENDA L MILLER MD
Family Medicine
1040 TACOMA AVENUE SOUTH
BISMARCK, ND 58504
Burleigh County (701) 323-6990
STUART T SMITH MD
Family Medicine
1040 TACOMA AVENUE SOUTH
BISMARCK, ND 58504
Burleigh County (701) 323-6990

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 David Pengilly's NPI number?

The NPI number for David Pengilly is 1710099114. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is David Pengilly located?

David Pengilly practices at 1040 Tacoma Avenue South, Bismarck, ND 58504. The listed phone number is (701) 323-6990.

What is David Pengilly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Pengilly enrolled in Medicare?

Yes. David Pengilly 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 David Pengilly accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list David Pengilly 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 David Pengilly affiliated with any hospitals?

According to CMS data, David Pengilly is affiliated with Chi St Alexius Health and Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for David Pengilly was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.