Individual provider Active NPI

John Morrell Pendleton, M.D.

  • Surgery Physician
  • Elizabethtown, KY
National Provider Identifier
1053638700
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48925 Issued in KY
Practice address
1700 Ring Rd
Hardin Memorial Surgical Specialists
Elizabethtown, KY 42701-9497
Phone
(270) 769-5551
NPI assigned
Apr 21, 2010
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 48925 KY Primary

Addresses

Primary practice location

1700 Ring Rd
Hardin Memorial Surgical Specialists
Elizabethtown, KY 42701-9497

Mailing address

1700 Ring Rd
Hardin Memorial Surgical Specialists
Elizabethtown, KY 42701-9497
Phone (270) 769-5551

Other practice location 1

910 Wallace Ave Ste 206
Leitchfield, KY 42754-2408
Phone (270) 259-3035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160829002145 KY Practitioner - General Surgery 8325348840 Reassigns benefits to 2 organizations
I20260612000161 IN Practitioner - General Surgery 8325348840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

200 Cardinal Dr
Suite 210
Elizabethtown, KY 42701-2777
Phone (270) 769-5551

2211 Mayfair Dr
Owensboro, KY 42301-4569

2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3829
Phone (270) 415-4800

910 Wallace Ave
Leitchfield, KY 42754-2408

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9491

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc CurrentSince Mar 6, 2026 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Mar 6, 2026 Accepting new patients
Baptist Health Medical Group Inc Surgery CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

1700 Ring Rd
Elizabethtown, KY 42701
Phone (270) 769-5551

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

910 Wallace Ave
Ste 206
Leitchfield, KY 42754
Phone (270) 259-3035

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • Direct secure messaging: jpendleton@hardinmemorial.gwaydirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1053638700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RING RD",
            "address_2": "HARDIN MEMORIAL SURGICAL SPECIALISTS",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019497",
            "telephone_number": "270-769-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RING RD",
            "address_2": "HARDIN MEMORIAL SURGICAL SPECIALISTS",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019497",
            "telephone_number": "270-769-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Wallace Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542408",
            "country_code": "US",
            "telephone_number": "270-259-3035",
            "fax_number": "270-259-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "JOHN",
        "middle_name": "MORRELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "48925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.