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Jared Allen Pendergrass , PA-C

Physician Assistant • Aurora, MO

Active NPI 1780282863 Individual Practitioner Male Practitioner
Practice location in NPPES

500 Porter Ave
Aurora, MO 656052365

Call 4176787888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 Porter Ave

Aurora, MO 656052365

Telephone 4176787888
Organization at the Same NPPES Address or Phone
St Johns Of Aurora Hospital Facility NPI 1487610143

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

227 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,306 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jared Pendergrass has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jared Pendergrass as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Aurora and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: 219. Middle half: 73 to 682.

Too few clinicians listed under Physician Assistant in Aurora have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: $2,647. Middle half: $562 to $57,833.

Too few clinicians listed under Physician Assistant in Aurora have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Physician Assistant with a practice address in Aurora, MO (1,791 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 42 287 $260.80 42
Prednisone Prednisone 40 335 $70.41 39
Cefdinir Cefdinir 33 280 $388.37 33
Ondansetron Odt Ondansetron 22 97 $155.48 21
Azithromycin Azithromycin 21 106 $82.31 21
Tizanidine Hcl Tizanidine Hcl 21 107 $110.83 18
Diclofenac Sodium Diclofenac Sodium 13 124 $46.31 13
Doxycycline Hyclate Doxycycline Hyclate 12 89 $69.49 12
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 12 90 $81.19 12
Bumetanide Bumetanide 11 270 $40.90 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MO 2020009814

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20201028001599

Enrollment State Jurisdiction

MO

PECOS Control ID

2264842533

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1083055453

Doctor of Medicine (M.D.)

Maria Bailey , PA-C

Physician Assistant

NPI 1003975293

Physician Assistant (Certified)

Dr. Zachary Greenlee , MD

Emergency Medicine

NPI 1760128656

Doctor of Medicine (M.D.)

Carissa Henbest , FNP

Nurse Practitioner - Family

NPI 1174242283

Family Nurse Practitioner

Dr. Kimberly Huggins , MD

Emergency Medicine

NPI 1295935161

Doctor of Medicine (M.D.)

NPI 1861021636

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 12, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2020 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1780282863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2020
Last Update: October 27, 2020
Sole Proprietor: No

Other Physician Assistants in Aurora

Mailing Address

500 Porter Ave

Aurora, MO 656052365

Phone: 4176787888

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.