DR. THOMAS ELLIOTT PENDERGRAST M.D. NPI 1548680366

NPI Information

  • NPI: 1548680366
  • Provider Name: DR. THOMAS ELLIOTT PENDERGRAST, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3200 BLUE RIDGE RD STE 100
    RALEIGH, NC
    ZIP 27612
  • Phone: (919) 256-3576

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NPI Details

DR. Thomas Elliott Pendergrast, M.D. is a diagnostic radiology radiology in Raleigh, NC with 12 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Thomas Elliott Pendergrast, M.D. NPI is 1548680366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

3200 BLUE RIDGE RD STE 100
RALEIGH, NC
ZIP 27612-087
Phone: (919) 256-3576

The NPI 1548680366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of face without contrast (HCPCS:70486)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Screening mammography (HCPCS:77067)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of leg with contrast material (HCPCS:73701)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • X-ray of forearm, 2 views (HCPCS:73090)

The enumeration date for this NPI number is 4/19/2014 and was last updated on 4/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology0101271086VIRGINIANo
22085R0202XRadiologyDiagnostic Radiology2020-00123NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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