Doctor profile · Federal record
Dr. Samuel Pendergraft, PHD, PA-C
Physician Assistant · North Wilkesboro, NC
- NPI 1013492180
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1900 W Park Dr Ste C
North Wilkesboro, NC 286593563
(336) 903-6920
fax (336) 903-6921
Credentials & registration
- NPI registered
- September 2018 — 8 yrs on file
- Profile last updated
- February 8, 2022
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- North Carolina #0010-08261
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013492180. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
439
Distinct HCPCS
4
Medicare allowed
$15,834
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97597 |
Removal of tissue from wound, 20.0 sq cm or less | 135 | 44 | $28 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 133 | 54 | $28 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 127 | 37 | $47 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 44 | 37 | $51 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 86. This provider delivers 5.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
211
Patients
142
Total drug cost
$19,006
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 82 | 47 | $1,443 |
| Mupirocin | Generic | 46 | 41 | $480 |
| Santyl (Collagenase Clostridium Hist.) | Brand | 36 | 26 | $15,729 |
| Ssd (Silver Sulfadiazine) | Brand | 24 | 17 | $1,076 |
| Clindamycin Hcl | Generic | 12 | 11 | $136 |
| Doxycycline Monohydrate | Generic | 11 | 0 | $142 |
Hospital affiliations
Frequently asked questions
What is Dr. Samuel Pendergraft's medical specialty?
Dr. Samuel Pendergraft practices Physician Assistant in North Wilkesboro, NC.
Where does Dr. Samuel Pendergraft practice?
Dr. Samuel Pendergraft practices at 1900 W Park Dr Ste C, North Wilkesboro, NC 286593563. Office phone: 3369036920.
What is Dr. Samuel Pendergraft's NPI?
Dr. Samuel Pendergraft's National Provider Identifier (NPI) is 1013492180, issued by NPPES.
Does Dr. Samuel Pendergraft accept Medicare assignment?
Yes. Dr. Samuel Pendergraft accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Pendergraft commonly perform?
Top Medicare-reported procedures in 2023: Removal of tissue from wound, 20.0 sq cm or less (HCPCS 97597); Established patient office or other outpatient visit (HCPCS 99212); Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042). Source: CMS Medicare Physician & Other Practitioners file.