Derek Paul Pendarvis, MD
NPI 1104806108ActiveIndividual· Surgery· Gainesville, GA
Surgery (MD) in Gainesville, Georgia, trained at Medical University of South Carolina College of Medicine (class of 1996). In 2024 Medicare paid $117,519 for 321 patients, and Part D covered 257 of their prescriptions, 85% of them generic. Davol Inc. was the largest of 5 companies reporting payments in 2025, $112.23 in all, mostly food and beverage.
Overview
| NPI | 1104806108 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 18, 2006 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 049933 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 321 |
|---|---|
| Services billed | 838 across 68 procedure codes |
| Paid by Medicare | $117,519 |
Part D prescriptions in 2024
| Prescriptions (claims) | 257 · 265 30-day fills |
|---|---|
| Patients | 127 |
| Total drug cost | $1,729 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | General Surgery |
| Telehealth | Offers telehealth |
Medical groups
- The Longstreet Clinic, PCGainesville, GA · 140 clinicians
- Northeast Georgia Community Physicians LLCGainesville, GA · 131 clinicians
Hospital affiliation
- Northeast Georgia Medical Center, IncGainesville, GA
Industry payments (Open Payments)
- 2025$112.23 · 5 payments from 5 companies
- 2024$241.29 · 9 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $43.37 | 1 |
| Braintree Laboratories, Inc. | $19.85 | 1 |
| Myriad Genetic Laboratories, Inc. | $18.28 | 1 |
| Elucent Medical | $16.26 | 1 |
| Smith+nephew, Inc. | $14.47 | 1 |
What the 2025 payments were for
- Food and Beverage$112.23 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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