Samuel Sparrow Pendergraft, PHD, PA-C
NPI 1013492180ActiveIndividual· Physician Assistant· North Wilkesboro, NC
Physician Assistant (PHD, PA-C) with Wake Forest University Health Sciences, practicing in North Wilkesboro, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $22,339 for 101 claims, against $6,905 paid for services in 2024. Smith+nephew, Inc. reported $16.55 in payments in 2025, mostly food and beverage. Lists North Carolina Baptist Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1013492180 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, PA-C |
| Sole proprietor | No |
| NPI issued | Sep 25, 2018 |
| Last updated in NPPES | Feb 8, 2022 |
| Certified by provider | Feb 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-08261 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 208 across 14 procedure codes |
| Paid by Medicare | $6,905 |
Part D prescriptions in 2024
| Prescriptions (claims) | 101 · 128 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $22,339 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wake Forest University Health SciencesHigh Point, NC · 2,645 clinicians
Hospital affiliations
- North Carolina Baptist HospitalWinston-Salem, NC
- Wilkes Regional Medical CenterNorth Wilkesboro, NC
Industry payments (Open Payments)
- 2025$16.55 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $16.55 | 1 |
What the 2025 payments were for
- Food and Beverage$16.55 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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