Nicole Jean Prendergast, MD
Emergency Medicine · Winston Salem
- 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
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 MedicineExpiredNo 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 itOverall 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.
| Pressure ulcer rateComplications and deaths | 1.45 (0.98 to 1.91) · 9,389 cases | Worse | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.242 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.353 | Better | Oct 2024 – Sep 2025 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 8.6 (7.1 to 10.6) · 706 cases | Better | Jan 2024 – Dec 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.97 (0.2 to 1.74) · 2,706 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.08 (0.87 to 1.29) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 156.03 (119.34 to 192.72) · 233 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 3.6 · 239 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 8.9 · 106 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 13.3 · 295 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 11 · 491 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13 · 297 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 13 · 631 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.6 · 7,258 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.12 (0 to 0.29) · 10,835 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.33 (0.15 to 0.51) · 11,325 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.16 (1.65 to 4.67) · 4,146 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.09 (0 to 2.19) · 1,971 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.07 (1.02 to 3.11) · 3,871 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.83 (3.98 to 11.68) · 1,896 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 3.48 (1.04 to 5.92) · 2,029 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.74 (0.45 to 3.03) · 1,078 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.7 · 38 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.754 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 1.126 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.035 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.314 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14 · 713 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.3 · 1,362 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 1.5 · 377 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -19.9 · 613 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 26 · 317 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.8 · 774 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.4 (4.3 to 7) · 706 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.5 · 39 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.9 · 288 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.1 · 404 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.6 (9.6 to 16.4) · 981 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.1) · 1,205 cases | No different | Jan 2024 – Dec 2024 |
What patients said (1,479 patients answered, 20% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 3 |
| Recommend hospital | 4 |
| Room was "always" clean | 66% |
| Nurses "always" communicated well | 78% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 84% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 75% |
| Doctors "always" treated them with courtesy and respect | 84% |
| Patients who gave a rating of "9" or "10" (high) | 71% |
| Staff "always" explained new medications | 70% |
| Nurses "always" explained things so they could understand | 73% |
| Nurses "always" listened carefully | 75% |
| Nurses "always" treated them with courtesy and respect | 85% |
| "Always" quiet at night | 58% |
| "YES", patients would definitely recommend the hospital | 73% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
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.
| Emergency department visit with high level of medical decision making | 70 | $8,537 | $122 |
| Critical care, first 30-74 minutes | 28 | $4,452 | $154 |
| Emergency department visit with moderate level of medical decision making | 14 | $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
| 2024 | 122 | 143 | 71 | 2.85 | $64,789 | $16,447 |
| 2023 | 133 | 146 | 69 | 2.40 | $76,746 | $17,417 |
| 2022 | 20 | 20 | 69 | 2.71 | $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
| Emergency department visit with high level of medical decision making | 81 | $11,119 | $136 |
| Critical care, first 30-74 minutes | 20 | $3,280 | $164 |
| Emergency department visit with moderate level of medical decision making | 16 | $1,213 | $76 |
2022: 1 service
| Emergency department visit with high level of medical decision making | 14 | $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.
| EMERGENCY DEPT VISIT MOD MDM | 698 | $189,116 |
| EMERGENCY DEPT VISIT LOW MDM | 517 | $186,336 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 455 | $102,527 |
| EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | 72 | $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 detected | 55 | $9,925 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 87 | $5,032 |
| Radiologic examination, chest; 2 views | 52 | $3,622 |
| Unclassified drugs | 155 | $3,416 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | 31 | $1,966 |
| COMPREHENSIVE METABOLIC PANEL | 175 | $1,551 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 178 | $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 technique | 12 | $1,452 |
| 2024 | 2,990 | 25 | 70 | $524,162 |
| 2023 | 2,237 | 18 | 89 | $283,344 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPT VISIT MOD MDM | 443 | $136,057 |
| EMERGENCY DEPT VISIT LOW MDM | 269 | $80,949 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 253 | $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 detected | 77 | $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 detected | 30 | $5,939 |
| Hospital observation service, per hour | 24 | $5,919 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 26 | $4,038 |
| Radiologic examination, chest; single view | 44 | $2,316 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 133 | $1,080 |
| COMPREHENSIVE METABOLIC PANEL | 123 | $1,062 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 29 | $898 |
| Radiologic examination, chest; 2 views | 16 | $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