DR. ELIZABETH TYRELL PENDRAGON MD
NPI 1801841960
Family Medicine in Albany, OR

Q: What is Elizabeth Pendragon's NPI number?

The NPI number for Elizabeth Pendragon is 1801841960. It was assigned to this individual provider in the NPPES registry on May 24, 2006. The provider is also known as Dr. Elizabeth Ann Tyrell MD.

Q: What is Elizabeth Pendragon's specialty?

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

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment

633 N ALBANY RD NW, ALBANY, OR 97321(541) 926-3441(541) 926-1010 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Elizabeth Tyrell Pendragon Md NPPES

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

DR. ELIZABETH TYRELL PENDRAGON MD (NPI 1801841960) is an individual family medicine provider in Albany, Oregon, licensed in Oregon (MD208773) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1996).

NPPES Registry Identity

NPI1801841960

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ELIZABETH TYRELL PENDRAGONCredential: MD

Location Address633 N ALBANY RD NWAlbany, OR 97321-1433

Mailing Address444 Nw Elks DrCorvallis, OR 97330-3745 · (541) 754-1150

Phone(541) 926-3441

Fax(541) 926-1010

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1996

Enumeration DateMay 24, 2006

Last NPPES UpdateMay 2, 2022

NPPES CertifiedMay 2, 2022

✔ NPI 1801841960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD208773✔ Licensed in CA · A65070

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.

633 N ALBANY RD NW, Albany, OR 97321

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Other Names 1

Former Name (1)Dr. Elizabeth Ann Tyrell Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elizabeth Tyrell Pendragon 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 ID8224060264

PECOS Enrollment IDI20220518000683

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Pendragon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Daiya Healthcare PLLC

212 mi

Internal Medicine

11120 NE 33RD PL STE 202
Bellevue, WA 98004

Reassigned Medicare billing, Oregon enrollment
46 clinicians in this Medicare group

NPI 1477027381 (206) 823-1004

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97321 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 9

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

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