Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary K Pendergrass, DO

Individual provider Family Medicine Physician · NPI 1457616872

Dr. Mary K Pendergrass, DO is a Family Practice in West Plains, Missouri. Qualified in 2011, 15 years ago. Practices with Douglas County Public Health Services Group, Inc, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

181 N Kentucky Ave Ste 100
West Plains, MO 65775-2092
Phone: (417) 257-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 816 E Main St, Willow Springs, MO 65793-1518 — (417) 269-2490

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2014030982 (MO)

Record details

NPI number1457616872
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Douglas County Public Health Services Group, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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