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

Dr. Gene David Prendergast, DO

Individual provider Orthopaedic Surgery Physician · NPI 1144370446

Dr. Gene David Prendergast, DO is an Orthopedic Surgery in Green Valley, Arizona. Qualified in 1979, 47 years ago. Practices with Taos Professional Services, LLC, a 30-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
47
Licensed in
NM
In the registry since
2007
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

4485 S 1-19 Frontage Rd Ste 100
Green Valley, AZ 85614
Phone: (866) 974-2673
Fax: (866) 939-2673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A-1607-11 (NM)

Record details

NPI number1144370446
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESOctober 22, 2015
Mailing address18444 N 25th Ave, Suite 310, Phoenix, AZ 85023-1261

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Taos Professional Services,Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount