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DR. BRIAN S PENDLEY DDS
NPI 1972627685
Dentist - General Practice in Omaha, NE

Active since March 19, 2007Opted out of Medicare · through Oct 1, 2026
13808 W MAPLE RD, SUITE 112, OMAHA, NE 68164(402) 445-4647(402) 445-8370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian S Pendley Dds NPPES

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

DR. BRIAN S PENDLEY DDS (NPI 1972627685) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (6214) and active in the NPI registry since March 2007. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972627685
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN S PENDLEYCredential: DDS
Location Address13808 W MAPLE RD, SUITE 112Omaha, NE 68164-6231
Mailing Address13808 W Maple Rd, Suite 112Omaha, NE 68164-6231 · (402) 445-4647 · Fax (402) 445-8370
Phone(402) 445-4647
Fax(402) 445-8370
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972627685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 6214
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13808 W MAPLE RD, Omaha, NE 68164
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Brian S Pendley Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68164 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES 19

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

EAGLE RUN CHIROPRACTIC, P.C.
Clinic/Center
13808 W MAPLE RD, SUITE 116
OMAHA, NE 68164
Douglas County (402) 491-4087
DR. JOSEPH G. STRALEY M.D.
Pediatrics
13808 W MAPLE RD, SUITE 100
OMAHA, NE 68164
Douglas County (402) 955-3000
LILY PIERCE
Behavior Technician
13808 W MAPLE RD
OMAHA, NE 68164
Douglas County (515) 207-5251
DR. JAY D SAMUELSON DDS
Dentist (General Practice)
13808 W MAPLE RD, SUITE112
OMAHA, NE 68164
Douglas County (402) 445-4647
DR. AMY MARIE RUF D.D.S.
Dentist
13808 W MAPLE RD, SUITE 112
OMAHA, NE 68164
Douglas County (402) 445-4647
DR. GREG STUART SAMUELSON D.D.S. M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
13808 W MAPLE RD, SUITE 112
OMAHA, NE 68164
Douglas County (402) 493-2268
DR. DARIN MICHAEL GREGORY MD
Family Medicine
13808 W MAPLE RD, SUITE 124
OMAHA, NE 68164
Douglas County (402) 493-8200
DR. JON M WASSERBURGER DDS
Dentist
13808 W MAPLE RD
OMAHA, NE 68164
Douglas County (402) 445-4647

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 Brian Pendley's NPI number?

The NPI number for Brian Pendley is 1972627685. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Brian Pendley located?

Brian Pendley practices at 13808 W Maple Rd Suite 112, Omaha, NE 68164. The listed phone number is (402) 445-4647.

What is Brian Pendley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brian Pendley enrolled in Medicare?

No. Brian Pendley has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brian Pendley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Brian Pendley 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.

When was this NPI record last updated?

The NPPES record for Brian Pendley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.