Derek Paul Pendarvis, MD
Surgery Physician · Gainesville, GA
Derek Paul Pendarvis, MD is a surgery physician with a practice address in Gainesville, Georgia, and NPI 1104806108, issued on Jan 18, 2006. Check the license (Georgia 049933, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Derek Paul Pendarvis
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 049933 GA
Self-reported in NPPES; status is on the state search - Practice location
- 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501
- Phone
- (770) 536-2323
- Enumerated
- Jan 18, 2006
- Record last updated
- May 22, 2024
- Fax
- (770) 536-4947
- Medicaid IDs
- 000904274A GA
000904274B GA - Medicare enrollment
- Enrolled (PECOS I20100922000642); accepts Medicare assignment
- Medical or professional school
- Medical University Of South Carolina College Of Medicine, 1996
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 991 in Georgia → Look up another NPI →
Also registered at 725 Jesse Jewell Pkwy SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Lane Alexander, PA-CMedical Physician Assistant1174338164
- Alexander Allaire, MDMaternal & Fetal Medicine Physician1669578282
- Jennifer Anderson, MDMedical Oncology Physician1457748451
- Jessica Anderson, CPNP-PCPediatric Nurse Practitioner1770951857
- Rebecca Ando, MDObstetrics & Gynecology Physician1396988754
Verify Derek Paul Pendarvis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 049933Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
75% more Medicare Part D claims than the average surgery physician in 2024
257 Medicare Part D claims for 127 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims. 110 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen104 claims
- Ondansetron Hcl79 claims
- Levothyroxine Sodium46 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $241.29
9 payments; by number, the most common kind was food and beverage; the largest payer was Aroa Biosurgery Incorporated. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Northeast Georgia Community Physicians LLCGainesville, GA
- The Longstreet Clinic, PCGainesville, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derek Paul Pendarvis among 991 surgery physician records in Georgia
Derek Paul Pendarvis, MD is one of 991 surgery physician records with a practice address in Georgia. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 57% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1996 · median 2004 among the 611 with a school on file
- Record last updated2024 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Georgia
There are 991 surgery physician records in Georgia.
All 991 in Georgia → Every provider in Gainesville → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Bradley Auffarth, MDGainesville, GA 305011972506590
- Emily Black, MDGainesville, GA 305011699931550
- Pierpont Brown, MDGainesville, GA 305011730182346
- Geary Bush, MDGainesville, GA 305011447437082
- James Butts, MDGainesville, GA 305011164401360
- Chad Copper, MDGainesville, GA 305011205816212
- Pierce Dixon, MDGainesville, GA 305011811964539
- Edward Foxhall, MDGainesville, GA 305011467548610
Common questions
What is Derek Paul Pendarvis, MD's NPI number?
Derek Paul Pendarvis, MD's National Provider Identifier (NPI) is 1104806108, issued on Jan 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Derek Paul Pendarvis, MD located?
The NPPES record lists a practice address at 725 Jesse Jewell Pkwy SE, Gainesville, GA, 30501. Phone: (770) 536-2323. Providers update this record themselves, so call before visiting.
How can I verify Derek Paul Pendarvis, MD's license?
NPPES lists Georgia license number 049933, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Derek Paul Pendarvis, MD prescribe under Medicare Part D?
In 2024, Derek Paul Pendarvis, MD had 257 Medicare Part D claims for 127 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Derek Paul Pendarvis, MD's MIPS final score?
The 2023 MIPS final score is 76.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.