DR. ROBERT C. PEDERSEN M.D.
NPI 1003807058
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Honolulu, HI

NPI Status: Active since October 31, 2005

Contact Information

2828 PAA ST
HONOLULU, HI
ZIP 96819
Phone: (808) 432-5777

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Psychiatry & Neurology
Neurology with Special Qualifications in...
Accepts Insurance
PECOS Enrolled

About ROBERT PEDERSEN

This page provides the complete NPI Profile along with additional information for Robert Pedersen, a provider established in Honolulu, Hawaii with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1003807058 assigned on October 2005. The practitioner's primary taxonomy code is 2084N0402X with license number 25994 (WA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1003807058
Provider Name: DR. ROBERT C. PEDERSEN M.D.
Gender: Male
Entity Type: Individual
Location Address: 2828 PAA ST HONOLULU, HI 96819
Location Phone: (808) 432-5777
Mailing Address: 2828 PAA ST HONOLULU, HI 96819
Mailing Phone: (808) 432-5777
Is Sole Proprietor?: No
Enumeration Date: 10-31-2005
Last Update Date: 05-10-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
Taxonomy Code: 2084N0402X
Type: Allopathic & Osteopathic Physicians
License No.: 25994
License State: WA
Taxonomy Description: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Kaiser Permanente

KP HI Bronze 6000/65 Plus CAM - HMO
KP HI Gold 0/40 Plus CAM - HMO
KP HI Gold 1000 Ded/250 Rx Ded - HMO
KP HI Platinum 0/5 Plus CAM - HMO
KP HI Silver 3000 Ded/600 Rx Ded Plus CAM - HMO
KP HI Silver 4000 Ded/600 Rx Ded - HMO
KP HI Standard Bronze 7500/50 - HMO
KP HI Standard Gold 2000/30 - HMO
KP HI Standard Platinum 0/10 - HMO
KP HI Standard Silver 6000/40 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Robert Pedersen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 96819 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $136.68
Minimum New Patient Price $60.53
Maximum New Patient Price $180.05

Average New Patient Copayment $34.17
Minimum New Patient Copayment $15.13
Maximum New Patient Copayment $45.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $105.65
Minimum Established Patient Price $20.09
Maximum Established Patient Price $147.56

Average Established Patient Copayment $26.41
Minimum Established Patient Copayment $5.02
Maximum Established Patient Copayment $36.89

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003807058, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 14 → 1 + 4

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 6 + 0 + 1 + 4 + 0 + 1 + 0 + 24 = 42

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1003807058.