MELISSA PENDERGRAFT
NPI 1770107161
Nurse Practitioner - Family in Eugene, OR

Q: What is Melissa Pendergraft's NPI number?

The NPI number for Melissa Pendergraft is 1770107161. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Q: What is Melissa Pendergraft's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment

3915 RIVER RD, EUGENE, OR 97404(541) 746-6816 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Jun 2, 2020 (2 updates tracked since 2020).

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About Melissa Pendergraft NPPES

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

MELISSA PENDERGRAFT (NPI 1770107161) is an individual family provider in Eugene, Oregon, licensed in Oregon (10041001) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Medical Center - Riverbend, and maintains a secondary practice location in San Marcos.

NPPES Registry Identity

NPI1770107161

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA PENDERGRAFT

Location Address3915 RIVER RDEugene, OR 97404-1230

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203 · Fax (702) 838-1456

Phone(541) 746-6816

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 2, 2020

Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1770107161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OR · 10041001✔ Licensed in TX · 1017838

Also ListedRegistered NurseTaxonomy 163W00000X · License 845030 (TX)

3915 RIVER RD, Eugene, OR 97404

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Secondary Practice Location 1

Location 11290 Wonder World Dr Ste 1100San Marcos, TX 78666-7969 · Phone (512) 393-3325 · Fax (512) 393-3328

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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

Melissa Pendergraft 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 ID4981009495

PECOS Enrollment IDI20250521002624

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 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.

121 services59 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

51 services34 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380102

Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97404 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.

Other Providers at the Same Location NPPES 12

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

JOHN CALVIN LUNDEEN MD

Family Medicine