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Nicole Jean Prendergast, MD

Emergency Medicine · Winston Salem

NPI 1073018081

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Wake Forest University Health Sciences · 2,633 clinicians in this group

Looking this up.

Hospitals listed: North Carolina Baptist Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Prendergast’s office at (336) 716-2734 to ask if they take your plan before you enroll.

State licence records

1 licence

  • Tennessee 65293Medical Doctor · since 2022 · expires 2023-07-31Specialty on the licence: Emergency Medicine; Sports Medicine
    ExpiredNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

1 placement

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Education

  • Frank H. Netter MD School of Medicine at Quinnipiac University · MDNorth Haven, CT · 2018Medical school
  • University of Washington Professional and Continuing Education · CERTSeattle, WA · 2014
  • University of Notre Dame · BSESouth Bend, IN · 2013
  • Binghamton University · n/aBinghamton, NY · 2010

Residency and fellowship

  • Stanford University, Emergency MedicinePalo Alto, CA · 2018–2022

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • North Carolina Baptist HospitalWinston-Salem, NCAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Advocate Health, which runs 58 hospitals in 6 statesHome of Wake Forest Baptist Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 3 of 5 · 73% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Pressure ulcer rate: 1.45 (0.98 to 1.91) · 9,389 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.242, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.353, Oct 2024 – Sep 2025Better than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 8.6 (7.1 to 10.6) · 706 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for North Carolina Baptist Hospital

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at North Carolina Baptist Hospital
Pressure ulcer rateComplications and deaths1.45 (0.98 to 1.91) · 9,389 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.242BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.353BetterOct 2024 – Sep 2025
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits8.6 (7.1 to 10.6) · 706 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.97 (0.2 to 1.74) · 2,706 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.08 (0.87 to 1.29)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths156.03 (119.34 to 192.72) · 233 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.6 · 239 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.9 · 106 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.3 · 295 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11 · 491 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 297 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths13 · 631 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 7,258 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.29) · 10,835 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.33 (0.15 to 0.51) · 11,325 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.16 (1.65 to 4.67) · 4,146 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.09 (0 to 2.19) · 1,971 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.07 (1.02 to 3.11) · 3,871 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.83 (3.98 to 11.68) · 1,896 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.48 (1.04 to 5.92) · 2,029 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.45 to 3.03) · 1,078 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.7 · 38 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.754No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.126No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.035No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.314No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14 · 713 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.3 · 1,362 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits1.5 · 377 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.9 · 613 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits26 · 317 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 774 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (4.3 to 7) · 706 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.5 · 39 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 288 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.1 · 404 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.6 (9.6 to 16.4) · 981 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 1,205 casesNo differentJan 2024 – Dec 2024

What patients said (1,479 patients answered, 20% of those asked)

Patient survey stars by topic at North Carolina Baptist Hospital
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at North Carolina Baptist Hospital
Room was "always" clean66%
Nurses "always" communicated well78%
Doctors "always" communicated well76%
Staff "always" explained55%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night58%
"YES", patients would definitely recommend the hospital73%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$16,447

Medicare paid this office $16,447 for 122 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making70$8,537$122
Critical care, first 30-74 minutes28$4,452$154
Emergency department visit with moderate level of medical decision making14$1,413$88

Who their Medicare patients are

122 Original Medicare patients in 2024. Average age 71 · Under 65 22% · 85 and older 16% · Women 53% · Also on Medicaid 39% · Health risk score 2.85. Sicker patients than 9 in 10 peers; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Depression 51% · Chronic kidney disease 45% · Diabetes 41% · Heart failure 39% · Coronary heart disease 38% · Atrial fibrillation 28% · Dementia 28% · Stroke 27% · COPD 20% · Cancer 16%.

The office billed $64,789, Medicare allowed $21,489 and paid $16,447; for 143 services of 16 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024122143712.85$64,789$16,447
2023133146692.40$76,746$17,417
20222020692.71$12,244$2,953

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making81$11,119$136
Critical care, first 30-74 minutes20$3,280$164
Emergency department visit with moderate level of medical decision making16$1,213$76

2022: 1 service

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making14$2,282$163

Medicaid work

$524,162 in 2024

Medicaid paid $524,162 for 2,990 billed services this clinician did in 2024, up to 70 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
EMERGENCY DEPT VISIT MOD MDM698$189,116
EMERGENCY DEPT VISIT LOW MDM517$186,336
EMERGENCY DEPARTMENT VISIT HIGH MDM455$102,527
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM72$14,088
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected55$9,925
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report87$5,032
Radiologic examination, chest; 2 views52$3,622
Unclassified drugs155$3,416
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug31$1,966
COMPREHENSIVE METABOLIC PANEL175$1,551
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count178$1,498
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique12$1,452
Medicaid work by year
20242,9902570$524,162
20232,2371889$283,344
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM443$136,057
EMERGENCY DEPT VISIT LOW MDM269$80,949
EMERGENCY DEPARTMENT VISIT HIGH MDM253$27,846
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 3 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B), upper respiratory specimen, each pathogen reported as detected or not detected77$14,960
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected30$5,939
Hospital observation service, per hour24$5,919
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes26$4,038
Radiologic examination, chest; single view44$2,316
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count133$1,080
COMPREHENSIVE METABOLIC PANEL123$1,062
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report29$898
Radiologic examination, chest; 2 views16$832

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
98.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1073018081
Licence
NC 2023-01108, TN 65293Tennessee 65293: Expired
Trained
F H Netter, M.D. School of Med at Quinnipiac Univ, 2018
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207PS0010X (207PS0010X); Federal specialty code 207P00000X (207P00000X); Student in a training program (390200000X)
Mailing address
Medical Center Boulevard, Winston Salem, NC, 27157
NPI first listed
2018-03-30
NPI last updated
2023-07-04
NPI record certified
2023-07-04

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 3601 the Vanderbilt Clinic, Nashville, TN, 37232 · 900 Welch Rd, Palo Alto, CA, 94304