Mr. Brian Travis Pendarvis

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Brian Travis Pendarvis
Gender:	M
Provider License Number If Given:	R0067224

NPI Information:

NPI:	1417952904
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/20/2005
Last Update Date:	1/30/2014

Provider Business Mailing Address:

Address:	205 SOUTH MAIN STREET PO BOX 2096 Noble, OK 73068
Phone Number:	4058725403
Fax Number:	4058725407

Provider Business Practice Location Address:

Address:	205 SOUTH MAIN STREET Noble, OK 73068
Phone Number:	4058725403
Fax Number:	4058725407

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	OK

Top Doctors in OK

About Mr. Brian Travis Pendarvis

Mr. Brian Travis Pendarvis (MR. BRIAN TRAVIS PENDARVIS ) is Definition Nurse Practitioner Physician in Noble, OK. The NPI Number for Mr. Brian Travis Pendarvis is 1417952904.

The current location address for Mr. Brian Travis Pendarvis is 205 SOUTH MAIN STREET Noble, OK 73068 and the contact number is 4058725403 and fax number is 4058725407. The mailing address for Mr. Brian Travis Pendarvis is 205 SOUTH MAIN STREET PO BOX 2096 Noble, OK 73068- 4058725403 (mailing address contact number - 4058725403).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Brian Travis Pendarvis ?

Answer: The NPI Number for Mr. Brian Travis Pendarvis is 1417952904

Where is Mr. Brian Travis Pendarvis located?

Answer: Mr. Brian Travis Pendarvis is located at 205 SOUTH MAIN STREET Noble, OK 73068.

What is the specialty for Mr. Brian Travis Pendarvis ?

Answer: The Specialty of Mr. Brian Travis Pendarvis is Definition Nurse Practitioner Physician.

Are there any online reviews for Mr. Brian Travis Pendarvis ?

Answer: Not yet!

Are there any other health care providers in Noble, OK?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mr. Brian Travis Pendarvis

Number of HCPCS	7
Number of Medicare Beneficiaries	177
Number of Services	413
Total Submitted Charge Amount	35065.85
Total Medicare Allowed Amount	27082.07
Total Medicare Payment Amount	15747.84
Total Medicare Standardized Payment Amount	17018.17
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	7
Number of Medicare Beneficiaries With Medical	177
Number of Medical Services	413
Total Medical Submitted Charge Amount	35065.85
Total Medical Medicare Allowed Amount	27082.07
Total Medical Medicare Payment Amount	15747.84
Total Medical Medicare Standardized Payment Amount	17018.17
Average Age of Beneficiaries	67
Number of Beneficiaries Age Less 65	50
Number of Beneficiaries Age 65 to 74	74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	99
Number of Male Beneficiaries	78
Number of Non-Hispanic White Beneficiaries	165
Number of Black or African American Beneficiaries	0
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	60
Number of Beneficiaries With Medicare Only Entitlement	117
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.27
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.18
Percent (%) of Beneficiaries Identified With Depression	0.17
Percent (%) of Beneficiaries Identified With Diabetes	0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.44
Percent (%) of Beneficiaries Identified With Hypertension	0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.35
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0205

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	3310
Number of Standardized 30-Day Fills	5444.2666667
Aggregate Cost Paid for All Claims	291813.68
Number of Day's Supply for All Claims	154831
Number of Medicare Beneficiaries	238
Number of Claims, Including Refills, for Beneficiaries Age 65+	2072
Including Refills, for Beneficiaries Age 65+	3611.6333333
Beneficiaries Age 65+	169875.5
Number of Day's Supply for All Claims for Beneficaries Age 65+	103079
Number of Medicare Beneficiaries Age 65+	157
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	600
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2684
Aggregate Cost Paid for Generic Drugs	41290.85
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	26
Aggregate Cost Paid for Other Drugs	1031.41
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1477
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	122160.33
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1833
Aggregate Cost Paid for Claims Filled by	169653.35
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	2340
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	246153.81
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	970
by Low-Income Subsidy	45659.87
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	149
Aggregate Cost Paid for Antibiotic Drugs	1992.55
Antibiotic Claims	95
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	65
Number of Beneficiaries Age Less Than 65	81
Number of Beneficiaries Age 65 to 74	103
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	146
Number of Male Beneficiaries	92
Number of Non-Hispanic White	222
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement	120
Average Hierarchical Condition Category	1.2670536346

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Mrs. Shalon Margaret Stokes
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Mrs. Christy Diane Byrd
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Ms. Mildred Leona Caffey
Private Vehicle
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Address: 606 WOODS DR Noble, OK 73068 , Phone: 4058728190

Mrs. Arlene Fae Parker
Specialist
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Mrs. Debrah Ann Morris
Speech-Language Pathologist
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Tiffany Amber Barnes
Occupational Therapy Assistant
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Pharmacist
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