MS. BETH ANN PENDERGRAPH P.A.
NPI 1881723682
Physician Assistant - Medical in Lagrange, GA

Q: What is Beth Pendergraph's NPI number?

The NPI number for Beth Pendergraph is 1881723682. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Beth Pendergraph's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Beth Pendergraph was last updated on January 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

1805 VERNON RD, SUITE B, LAGRANGE, GA 30240(706) 884-2691(706) 845-7314 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Beth Ann Pendergraph P.a. NPPES

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

MS. BETH ANN PENDERGRAPH P.A. (NPI 1881723682) is an individual medical provider in Lagrange, Georgia, licensed in Georgia (0048DO) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1881723682

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. BETH ANN PENDERGRAPHCredential: P.A.

Location Address1805 VERNON RD, SUITE BLagrange, GA 30240-3871

Mailing Address127 Cove Hollow RdFortson, GA 31808-4353 · (678) 462-1977

Phone(706) 884-2691

Fax(706) 845-7314

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 5, 2007

Last NPPES UpdateJanuary 24, 2012

✔ NPI 1881723682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 0048DO

1805 VERNON RD, Lagrange, GA 30240

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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

Ms. Beth Ann Pendergraph P.a. 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 ID9739319260

PECOS Enrollment IDI20140303001344

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 10

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.

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

218 services89 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

140 services77 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

95 services80 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

54 services44 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services24 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

22 services18 patients

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.

92.26/100

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

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$18.02 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 20

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

DR. DEBORAH A SIMMONS MD

Anesthesiology

1805 VERNON RD, SUITE C
LAGRANGE, GA 30240

Troup County (706) 812-9902

SOUTHERN SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

1805 VERNON RD, SUITE C
LAGRANGE, GA 30240

Troup County (706) 812-9902

DR. BRIAN M TERRY MD

Orthopaedic Surgery