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MICHAEL ELI PENDLETON MD
NPI 1922211556
Family Medicine in Louisville, KY

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
215 CENTRAL AVE STE 100, LOUISVILLE, KY 40208(502) 588-8720(502) 588-8721 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2020, Sep 3, 2019, Aug 26, 2019 and 2 more (5 updates tracked since 2019).

About Michael Eli Pendleton Md NPPES

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

MICHAEL ELI PENDLETON MD (NPI 1922211556) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (43483) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1922211556
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL ELI PENDLETONCredential: MD
Location Address215 CENTRAL AVE STE 100Louisville, KY 40208
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750
Phone(502) 588-8720
Fax(502) 588-8721
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2005
Enumeration DateMay 8, 2007
Last NPPES UpdateDecember 7, 20205 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1922211556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 43483
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.
215 CENTRAL AVE STE 100, Louisville, KY 40208
Open in Google Maps ↗

Secondary Practice Location 1

Location 11603 Stevens AveLouisville, KY 40205 · Phone (502) 451-5955 · Fax (502) 451-5925

Other Identifiers 5

Medicaid7100127990KY
Other50029700KY · Passport Health Plan
Other50029701KY · Passport Health Plan
Other50029698KY · Passport Health Plan
Other50029699KY · Passport Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Michael Eli Pendleton 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 ID7214009190
PECOS Enrollment IDI20100929001146
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 7

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.
215 services147 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
174 services174 patients
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.
119 services85 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40208 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims28 services$5.36 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 10

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

MARY T SKINNER ARNP-C
Nurse Practitioner (Adult Health)
215 CENTRAL AVE STE 100, SUITE 100
LOUISVILLE, KY 40208
Jefferson County (502) 588-8720
SEAN WARREN M.D.
Family Medicine
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Jefferson County (502) 588-8720
PETER A ESCH M.D.
Internal Medicine
215 CENTRAL AVE STE 100, JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC
LOUISVILLE, KY 40208
Jefferson County (502) 588-8720
MS. NANCY ELIZABETH RENICK MSSW
Social Worker (Clinical)
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Jefferson County (502) 588-8720
DR. LAUREN PATRICIA GRANT HERRMANN MD
Family Medicine
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Jefferson County (502) 588-8720
VIVIAN LEE RAKESTRAW
Nurse Practitioner (Family)
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Jefferson County (502) 852-2822
JACKIE SMITH
Nurse Practitioner (Family)
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Jefferson County (502) 588-8720
DR. LAURA MORTON M.D.
Internal Medicine
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Jefferson County (502) 588-0325

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 Michael Pendleton's NPI number?

The NPI number for Michael Pendleton is 1922211556. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Michael Pendleton located?

Michael Pendleton practices at 215 Central Ave Ste 100, Louisville, KY 40208. The listed phone number is (502) 588-8720.

What is Michael Pendleton's specialty?

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

Is Michael Pendleton enrolled in Medicare?

Yes. Michael Pendleton 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 Michael Pendleton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Michael Pendleton 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 Michael Pendleton affiliated with any hospitals?

According to CMS data, Michael Pendleton is affiliated with Baptist Health Floyd, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Michael Pendleton was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.