Active NPI 1730174152 Individual Practitioner Male Practitioner

Dr. John R Pender , MD

Surgery • Billings, MT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Pender, MD is a certified Surgery practicing in Billings, MT. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Pender delivers high-quality medical care to the local community at 2800 10TH AVE N.

Dr. Pender is affiliated with Billings Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2800 10th Ave N

Billings, MT 591010703

Telephone 4062385046

Associated Practice Facility / Clinic

🏢 Billings Clinic Facility NPI 1013958446

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Billings, MT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

27 Specialists

Practicing in Billings, MT (144 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pender (27 Years) 27 Yrs

Billings Specialty Average (27.0 Years) 27.0 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	34	34	$146.15	$94.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$233.39	$129.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	18	$155.36	$76.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$327.91	$126.65
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$98.69	$63.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$139.33	$79.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$317.00	$130.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$225.14	$133.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$162.08	$79.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$136.15	$97.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$470.00	$174.06
47562 Removal of gallbladder using an endoscope	16	16	$3227.00	$645.22
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$237.58	$83.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$133.36	$83.06

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	32	32	$225.00	$135.12
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$235.00	$99.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$167.00	$70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$135.00	$97.76
47562 Removal of gallbladder using an endoscope	19	19	$3227.00	$621.96
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$88.00	$67.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$317.00	$137.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$225.00	$138.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$135.00	$101.33
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$235.00	$101.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$235.00	$106.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$317.00	$144.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$470.00	$210.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$225.00	$135.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$135.00	$82.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$133.00	$79.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$317.00	$143.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$225.00	$135.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$470.00	$200.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$167.00	$76.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$135.00	$82.19
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$88.00	$53.43
47562 Removal of gallbladder using an endoscope	15	15	$3280.80	$695.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$133.00	$80.56
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$235.00	$107.27

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	44	44	$225.00	$134.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$317.00	$141.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$470.00	$209.57
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$88.00	$52.93
47562 Removal of gallbladder using an endoscope	18	18	$3271.83	$703.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$91.00	$40.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$135.00	$81.00

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	41	41	$184.68	$132.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$116.74	$79.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$303.91	$139.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$444.86	$206.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$158.16	$73.41
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$71.89	$51.93
47562 Removal of gallbladder using an endoscope	16	16	$3277.44	$709.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$105.75	$79.91
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$427.69	$127.14
43644 Bypass operation of stomach using an endoscope	12	12	$4214.00	$1877.92

Medical Specialties & State Licenses

CMS Verified: 2022-02-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 200301157

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

8913688 (NC)

Commercial Insurance / Payer ID Bcbs Nc

13688 (NC)

Hospital & Practice Group Affiliations

Billings Clinic

201 Yellowstone Ave, Cody, WY 824149313

Phone: 3075277561

Billings Clinic

801 N 29th St, Billings, MT 591010905

Phone: 4062382500

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Heather Gale , MD

Radiology - Diagnostic Radiology

NPI 1023329513

Doctor of Medicine (M.D.)

Dr. Dana Davis , MD

Hospitalist

NPI 1083736037

Doctor of Medicine (M.D.)

Dr. Karla Mora Rodriguez , MD

Psychiatry & Neurology - Epilepsy

NPI 1114506607

Doctor of Medicine (M.D.)

Dr. Laura Seal , MD

Psychiatry & Neurology - Psychiatry

NPI 1164743142

Doctor of Medicine (M.D.)

Katie Zupan , PA-C

Physician Assistant

NPI 1194451153

Physician Assistant (Certified)

Dr. Whitney Ward , DO

Student in an Organized Health Care Education/Training Program

NPI 1205538436

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2014

Registered at 2800 10TH AVE N, BILLINGS, MT 591010703 (Tel: 4062385046)

📍

Updated Business Mailing Address December 11, 2014

Registered at PO BOX 35100, BILLINGS, MT 591075100 (Tel: 4062382500)

👤

Provider Name / Credentials Updated December 11, 2014

Recorded as JOHN PENDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2014

Surgery (License #200301157 in NC)

🟢

Initial NPI Registration & Enumeration September 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730174152

Entity Type:

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

Enumeration Date: September 12, 2005

Last Update: February 10, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 35100

Billings, MT 591075100

Phone: 4062382500

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.