PAUL CHRISTEN PEDERSEN M.D.
NPI 1003892720
General Practice in Barbourville, KY
About Paul Christen Pedersen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL CHRISTEN PEDERSEN M.D. (NPI 1003892720) is an individual general practice provider in Barbourville, Kentucky, licensed in Kentucky (31705) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paul Christen Pedersen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Corbin
Acute Care Hospitals · Corbin, KYKnox County Hospital
Critical Access Hospitals · Barbourville, KYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Pedersen's NPI number?
The NPI number for Paul Pedersen is 1003892720. It was assigned to this individual provider in the NPPES registry on December 15, 2005.
Where is Paul Pedersen located?
Paul Pedersen practices at 602 Knox St, Barbourville, KY 40906. The listed phone number is (606) 546-6027.
What is Paul Pedersen's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Paul Pedersen enrolled in Medicare?
Yes. Paul Pedersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Paul Pedersen accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Paul Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Paul Pedersen affiliated with any hospitals?
According to CMS data, Paul Pedersen is affiliated with Baptist Health Corbin and Knox County Hospital.
When was this NPI record last updated?
The NPPES record for Paul Pedersen was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.