Active NPI 1528058898 Individual Practitioner Male Practitioner

Phillip E Pendleton , APRN

Nurse Practitioner • Carmel, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Phillip Pendleton, APRN is a certified Nurse Practitioner practicing in Carmel, CA. With approximately 28 years of clinical experience since completing medical education in 1998, Phillip Pendleton delivers high-quality medical care to the local community at 275 THE CROSSROADS BLVD STE A.

Phillip Pendleton is affiliated with Community Hospital Of The Monterey Peninsula and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

275 The Crossroads Blvd Ste A

Carmel, CA 93923

Telephone 8317189701

Fax 8318861538

Associated Practice Facility / Clinic

🏢 Montage Medical Group Facility NPI 1770710709

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Carmel, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Carmel, CA (8378 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pendleton (28 Years) 28 Yrs

Carmel Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	266	$274.18	$84.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$456.71	$115.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	141	$281.00	$87.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$458.00	$119.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	155	$268.00	$89.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$436.00	$122.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	148	$253.28	$90.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$413.77	$123.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	116	$233.23	$72.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$390.25	$116.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	178	111	$182.47	$69.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	131	71	$290.96	$90.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$391.24	$118.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	40	$203.78	$63.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$376.00	$110.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$225.00	$68.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$570.00	$176.10
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$289.13	$87.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$112.00	$34.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	503	398	$238.00	$95.42
99213 Established patient office or other outpatient visit, typically 15 minutes	133	121	$150.00	$64.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	41	$281.00	$90.67
99497 Advance care planning, first 30 minutes	45	31	$175.00	$68.99
81003 Automated urinalysis test	42	39	$7.50	$2.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$289.00	$128.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$376.00	$118.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$549.00	$176.20
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$50.00	$15.15
69210 Removal of impacted ear wax	14	14	$106.00	$43.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$238.00	$94.48

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 14610

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IN 71000962A

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License KY 4984P

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

78017547 (KY)

Medicaid State Provider ID

200379310 (IN)

Commercial Insurance / Payer ID Medicare Pin

CA200946 (CA)

Hospital & Practice Group Affiliations

Community Hospital Of The Monterey Peninsula

23625 Holman Hwy, Monterey, CA 939405902

Phone: 8316245311

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Dr. Peter Michas-Martin , MD

Psychiatry & Neurology - Neurology

NPI 1033422142

Doctor of Medicine (M.D.)

Sung Yim

Psychiatry & Neurology - Neurology

NPI 1114503893

Dr. John Obert-Hong , MD

Family Medicine

NPI 1194789479

Doctor of Medicine (M.D.)

Dr. Eugene Lee , MD

Psychiatry & Neurology - Psychiatry

NPI 1215052428

Doctor of Medicine (M.D.)

Matthew Neoh

Internal Medicine

NPI 1215390935

Laurel Moody , NP

Nurse Practitioner

NPI 1215982152

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address October 05, 2018

Registered at 40 RYAN CT, STE 100, MONTEREY, CA 939407866 (Tel: 8317189701)

📍

Updated Practice Location May 24, 2018

Registered at 275 THE CROSSROADS BLVD STE A, CARMEL, CA 93923 (Tel: 8317189701)

📍

Updated Business Mailing Address May 24, 2018

Registered at 275 THE CROSSROADS BLVD STE A, CARMEL, CA 939238685 (Tel: 8317189701)

✅

NPI Profile Active June 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2012

Registered at 2312 ALEXANDRIA DR, LEXINGTON, KY 405043229 (Tel: 8592765344)

📍

Updated Business Mailing Address June 08, 2012

Registered at 2312 ALEXANDRIA DR, LEXINGTON, KY 405043229 (Tel: 8592765344)

👤

Provider Name / Credentials Updated June 08, 2012

Recorded as PHILLIP PENDLETON, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2012

Nurse Practitioner (License #71000962A in IN)

🟢

Initial NPI Registration & Enumeration October 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528058898

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 26, 2005

Last Update: October 05, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

40 Ryan Ct, Ste 100

Monterey, CA 939407866

Phone: 8317189701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.