Active NPI 1104806108 Individual Practitioner Male Practitioner

Dr. Derek Paul Pendarvis , MD

Surgery • Gainesville, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Derek Pendarvis, MD is a certified Surgery practicing in Gainesville, GA. With approximately 30 years of clinical experience since graduating from Medical University Of South Carolina College Of Medicine in 1996, Dr. Pendarvis delivers high-quality medical care to the local community at 725 JESSE JEWELL PKWY SE.

Dr. Pendarvis maintains professional affiliations with Northeast Georgia Community Physicians Llc, The Longstreet Clinic, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, ultrasound of head and neck, fine needle aspiration of first lesion using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 7705362323

Fax 7705364947

Associated Practice Facility / Clinic

🏢 The Longstreet Clinic, Pc Facility NPI 1326019977

Medicare Profile & Education

Medical School

Medical University Of South Carolina College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gainesville, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +8.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

29 Specialists

Practicing in Gainesville, GA (1046 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pendarvis (30 Years) 30 Yrs

Gainesville Specialty Average (21.6 Years) 21.6 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$245.00	$152.88
76536 Ultrasound of head and neck	121	120	$236.00	$95.92
10005 Fine needle aspiration of first lesion using ultrasound guidance	109	105	$350.00	$121.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	65	$160.00	$119.64
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	56	42	$150.00	$56.60
76998 Ultrasonic guidance during surgery	40	39	$316.00	$43.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$165.00	$100.32
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$1170.00	$172.27
60500 Removal or exploration of parathyroid glands	20	20	$3015.00	$883.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1560.00	$237.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$225.00	$168.62
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$1170.00	$172.27
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$115.00	$84.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$310.00	$194.83
36415 Insertion of needle into vein for collection of blood sample	12	12	$38.33	$8.65
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3359.66	$695.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$245.00	$159.37
10005 Fine needle aspiration of first lesion using ultrasound guidance	108	105	$350.00	$126.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	70	$160.00	$121.78
76998 Ultrasonic guidance during surgery	52	51	$316.00	$59.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$165.00	$106.88
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	36	30	$150.00	$55.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$307.83	$204.38
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$115.00	$85.91
60500 Removal or exploration of parathyroid glands	25	25	$3015.00	$928.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$225.00	$171.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$1560.00	$243.95
76536 Ultrasound of head and neck	20	20	$236.00	$102.73
36415 Insertion of needle into vein for collection of blood sample	18	17	$30.00	$8.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$1170.00	$177.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$245.00	$157.44
10005 Fine needle aspiration of first lesion using ultrasound guidance	94	92	$350.00	$130.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	74	$160.00	$122.75
76998 Ultrasonic guidance during surgery	48	48	$320.96	$59.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$165.00	$105.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$1560.00	$246.84
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	29	24	$150.00	$58.83
60500 Removal or exploration of parathyroid glands	27	27	$3015.00	$897.09
36415 Insertion of needle into vein for collection of blood sample	22	21	$29.55	$2.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$310.00	$212.57
49650 Repair of groin hernia using an endoscope	15	15	$2616.00	$437.63
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$1170.00	$173.68
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$1170.00	$178.29
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$118.57	$85.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$225.00	$161.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3285.00	$707.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
10005 Fine needle aspiration of first lesion using ultrasound guidance	126	122	$350.00	$128.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$245.00	$162.54
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	62	53	$150.00	$59.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	51	$161.63	$124.25
76998 Ultrasonic guidance during surgery	41	41	$330.00	$61.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	26	$225.00	$175.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$165.00	$106.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$310.00	$214.75
60500 Removal or exploration of parathyroid glands	23	23	$3015.00	$933.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$1170.00	$182.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1560.00	$249.55
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	12	12	$200.00	$142.63
36415 Insertion of needle into vein for collection of blood sample	12	12	$20.00	$3.00
47562 Removal of gallbladder using an endoscope	12	12	$3155.00	$626.60
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$115.00	$87.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
10005 Fine needle aspiration of first lesion using ultrasound guidance	81	79	$350.00	$125.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	56	$225.00	$140.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$310.00	$203.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$245.00	$160.25
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	37	27	$150.00	$59.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$160.00	$105.38
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$1170.00	$188.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$165.00	$100.64
60500 Removal or exploration of parathyroid glands	17	17	$3015.00	$978.90
49650 Repair of groin hernia using an endoscope	16	15	$2316.25	$448.19
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$1170.00	$188.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1560.00	$258.75
36415 Insertion of needle into vein for collection of blood sample	12	11	$20.00	$2.98
47562 Removal of gallbladder using an endoscope	11	11	$3155.00	$673.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$60.00	$21.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$243.93	$153.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	63	$224.58	$139.82
10005 Fine needle aspiration of first lesion using ultrasound guidance	65	63	$330.00	$118.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$165.00	$101.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$309.20	$201.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$159.45	$105.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$1558.69	$249.76
10006 Fine needle aspiration biopsy using ultrasound guidance, each additional growth	21	17	$150.00	$59.60
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$115.00	$69.77
60500 Removal or exploration of parathyroid glands	19	19	$3013.95	$978.71
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$1168.63	$189.35
47562 Removal of gallbladder using an endoscope	18	18	$3153.22	$670.56
36415 Insertion of needle into vein for collection of blood sample	15	13	$17.07	$2.94
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$567.21	$54.78
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1169.00	$189.73
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	12	$1500.00	$597.14
49650 Repair of groin hernia using an endoscope	13	13	$2347.69	$417.34
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1169.45	$181.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$243.00	$156.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	64	$159.00	$102.83
10022 Fine needle aspiration using imaging guidance	63	47	$320.00	$131.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	51	$224.00	$136.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	52	51	$567.00	$56.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$165.00	$103.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	38	38	$1168.00	$186.80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	29	$1558.00	$251.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$307.00	$199.44
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$115.00	$69.53
47562 Removal of gallbladder using an endoscope	26	26	$3181.31	$646.06
36415 Insertion of needle into vein for collection of blood sample	22	22	$16.00	$2.94
49650 Repair of groin hernia using an endoscope	21	20	$2180.00	$395.62
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$1168.00	$186.33
76536 Ultrasound of head and neck	13	12	$140.77	$80.70
60500 Removal or exploration of parathyroid glands	11	11	$2739.14	$810.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$243.00	$149.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$165.00	$99.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$159.00	$101.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	48	$224.00	$135.99
10022 Fine needle aspiration using imaging guidance	43	28	$320.00	$131.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	34	$1558.00	$251.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	28	$508.82	$53.00
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$1168.00	$185.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$307.00	$192.10
49650 Repair of groin hernia using an endoscope	25	24	$2267.20	$395.22
47562 Removal of gallbladder using an endoscope	24	24	$3151.00	$614.30
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$115.00	$64.72
36415 Insertion of needle into vein for collection of blood sample	23	22	$16.00	$2.84
76536 Ultrasound of head and neck	16	16	$125.00	$76.29
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1168.00	$184.38
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1500.00	$617.07

Medical Specialties & State Licenses

CMS Verified: 2024-05-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 049933

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000904274B (GA)

Medicaid State Provider ID

000904274A (GA)

Commercial Insurance / Payer ID Bcbs

52843776 (GA)

Commercial Insurance / Payer ID Wellcare

341106 (GA)

Commercial Insurance / Payer ID Cigna

7816063 (GA)

Commercial Insurance / Payer ID United Healthcare

1700231 (GA)

Commercial Insurance / Payer ID Rr Medicare-Grp # Cc4177

20050660 (GA)

Commercial Insurance / Payer ID Amerigroup

10045029 (GA)

Hospital & Practice Group Affiliations

Northeast Georgia Community Physicians Llc

725 Jesse Jewell Pkwy Se, Gainesville, GA 305013834

Phone: 7702975700

The Longstreet Clinic, Pc

725 Jesse Jewell Pkwy Se, Gainesville, GA 305013834

Phone: 7705336511

The Longstreet Clinic, Pc

743 Spring St Ne, Gainesville, GA 305013715

Phone: 7705336511

Secondary Practice Locations

1270 Friendship Rd

Braselton, GA 305175630

Phone: 7705362323

743 Spring St Ne

Gainesville, GA 305013715

Phone: 7705362323

1400 River Pl

Braselton, GA 305175600

Phone: 7705362323

1945 Beverly Rd

Gainesville, GA 305012034

Phone: 7705362323

495 Highway 400

Dahlonega, GA 305336823

Phone: 7705362323

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. James Butts , MD

Surgery

NPI 1164401360

Doctor of Medicine (M.D.)

Dr. Shelia Bradshaw , AGACNP-BC, DNP

Nurse Practitioner - Acute Care

NPI 1194382994

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified), Doctor of Nursing Practice

Dr. Chad Copper , MD

Surgery

NPI 1205816212

Doctor of Medicine (M.D.)

Dr. Jose Aycinena Goicolea , MD

Colon & Rectal Surgery

NPI 1245495787

Doctor of Medicine (M.D.)

Lindsay Pearson , PA-C

Physician Assistant

NPI 1265878532

Physician Assistant (Certified)

Mary Mitchell , RNFA, NP

Nurse Practitioner - Acute Care

NPI 1326138413

RNFA, Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2011

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705362323)

📍

Updated Business Mailing Address August 24, 2011

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤

Provider Name / Credentials Updated August 24, 2011

Recorded as DEREK PENDARVIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2011

Surgery (License #049933 in GA)

🟢

Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104806108

Entity Type:

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

Enumeration Date: January 18, 2006

Last Update: May 22, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

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.