JOHN PENDY JR.
NPI 1316500143
Internal Medicine in Nashville, TN


Quality Rating: 96.56 out of 100 score

NPI Status: Active since April 17, 2019

Contact Information

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232
Phone: (615) 936-2000

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  • Individual
  • Male
  • Years of Experience 7
  • Internal Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOHN PENDY

This page provides the complete NPI Profile along with additional information for John Pendy, an internist established in Nashville, Tennessee with a medical specialization in Internal Medicine and more than 7 years of experience. He graduated from Wayne State University School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1316500143 assigned on April 2019. The practitioner's primary taxonomy code is 207R00000X with license number 64612 (TN). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1316500143
Provider Name
JOHN PENDY JR.
Other Name
N/A N N/A MD
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
3601 THE VANDERBILT CLINIC NASHVILLE, TN 37232
Location Phone
(615) 936-2000
Mailing Address
3841 GREEN HILLS VILLAGE DR NASHVILLE, TN 37215
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
04-17-2019
Last Update Date
06-14-2022
Code Navigator

An internist like John Pendy is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1161 21st Ave S
    Nashville, TN 37232
    (615) 875-5568

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
64612
License State
TN
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

John Pendy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

John Pendy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6305175316

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230516001304

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 52 times for 20 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 12 times for 12 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.45 for a new patient copayment and $23.4 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37232 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.8
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $30.45
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.6
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $23.4
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.56, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 96.56 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 84.99

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Pendy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UPHS MARQUETTE DLP HOSPITAL850 W BARAGA AVE
MARQUETTE, MI 49855
(906) 228-9440Acute Care Hospitals

Reviews for JOHN PENDY JR.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316500143
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326100018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 0 + 0 + 0 + 1 + 8 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1316500143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689634032DR. ANDY M NORMAN MD
Individual
Obstetrics & Gynecology3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1962439877DR. BRADLY STROHLER MD
Individual
Pediatrics3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1669409280MS. DEBORAH B MARTIN APRN
Individual
Nurse Practitioner (Acute Care)3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1417984964MS. PAMELA A JORDAN APRN
Individual
Nurse Practitioner (Adult Health)3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1851328322DR. SABA I SILE MD
Individual
Medical Genetics (Clinical Genetics (M.D.))3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1104854223DR. JAMES T JOHN JR. MD
Individual
Internal Medicine (Rheumatology)3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1891723920DR. ROBERT L ESTES MD
Individual
Ophthalmology3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1831286939 HENRY RUSSELL MD
Individual
Surgery3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1720169964DR. PELAYO CORREA MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1376627489 ESTHER EISENBERG MD, MPH
Individual
Obstetrics & Gynecology3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1659438422MS. DEANNA C DILLON RD, LDN, CDE
Individual
Nutritionist3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1285787101 PAGE PEEK MILLER CRNA
Individual
Nurse Anesthetist, Certified Registered3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1225159890 CHRISTOPHER MAHONE TOLLESON MD
Individual
Psychiatry & Neurology (Neurology)3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1861610180 RICARDO L LEVIN MD
Individual
Surgery3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1285659706VANDERBILT UNIVERSITY
Organization
Social Worker (Clinical)3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1528084555VANDERBILT UNIVERSITY
Organization
Nurse Anesthetist, Certified Registered3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1073532602VANDERBILT UNIVERSITY
Organization
Advanced Practice Midwife3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1851634646MRS. ERICA BYRUM ANP-BC
Individual
Nurse Practitioner (Adult Health)3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-2318
1568519452DR. JOSHUA PATRICK FESSEL MD, PHD
Individual
Internal Medicine3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000
1952356065VANDERBILT UNIVERSITY
Organization
Internal Medicine3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316500143, enumerated in the NPI registry as an "individual" on April 17, 2019

The provider is located at 3601 The Vanderbilt Clinic Nashville, Tn 37232 and the phone number is (615) 936-2000

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 7 years of experience. He graduated from Wayne State University School Of Medicine in 2019.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $121.8 with an average copayment of $30.45 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Hospital discharge day management, 30 minutes or less and Initial hospital inpatient care per day, typically 50 minutes.

The practitioner is affiliated to the following hospital(s): UPHS MARQUETTE DLP HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 17, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.