DR. JOHN R PENDER IV MD
NPI 1730174152
Surgery in Billings, MT

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
2800 10TH AVE N, BILLINGS, MT 59101(406) 238-5046 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John R Pender Iv Md NPPES

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

DR. JOHN R PENDER IV MD (NPI 1730174152) is an individual surgery provider in Billings, Montana, licensed in North Carolina (200301157) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1730174152
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN R PENDER IVCredential: MD
Location Address2800 10TH AVE NBillings, MT 59101-0703
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 12, 2005
Last NPPES UpdateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
NPI 1730174152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 200301157
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2800 10TH AVE N, Billings, MT 59101

Other Identifiers 2

Medicaid8913688NC
Other13688NC · Bcbs Nc

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. John R Pender Iv 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 ID4688653645
PECOS Enrollment IDI20141121002400, I20240725001482
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 6

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.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services18 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.
13 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Beartooth Billings Clinic

Critical Access Hospitals · Red Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271326
Location2525 N BroadwayRed Lodge, MT 59068 · Carbon County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
2800 10TH AVE N
BILLINGS, MT 59101
Hospitalist
2800 10TH AVE N
BILLINGS, MT 59101
Pharmacy (Community/Retail Pharmacy)
2800 10TH AVE N
BILLINGS, MT 59101
Nursing Facility/Intermediate Care Facility
2800 10TH AVE N
BILLINGS, MT 59101
Radiology (Diagnostic Radiology)
2800 10TH AVE N
BILLINGS, MT 59101
Nurse Practitioner (Psychiatric/Mental Health)
2800 10TH AVE N
BILLINGS, MT 59101
Speech-Language Pathologist
2800 10TH AVE N
BILLINGS, MT 59101
Registered Nurse (Critical Care Medicine)
2800 10TH AVE N
BILLINGS, MT 59101

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 John Pender's NPI number?

The NPI number for John Pender is 1730174152. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is John Pender located?

John Pender practices at 2800 10th Ave N, Billings, MT 59101. The listed phone number is (406) 238-5046.

What is John Pender's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Pender enrolled in Medicare?

Yes. John Pender 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 John Pender accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list John Pender 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 John Pender affiliated with any hospitals?

According to CMS data, John Pender is affiliated with Billings Clinic and Beartooth Billings Clinic.

When was this NPI record last updated?

The NPPES record for John Pender was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.