DR. WILLIAM C PEDERSON M.D.
NPI 1053387902
Surgery - Plastic and Reconstructive Surgery in Houston, TX
About Dr. William C Pederson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM C PEDERSON M.D. (NPI 1053387902) is an individual plastic and reconstructive surgery provider in Houston, Texas, licensed in Texas (F1893) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. William C Pederson 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.
Medicare Billing Reassignments
5Medicare enrollment records show William Pederson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 510 clinicians in this Medicare group
San Antonio, TX 78240
- Reassigned Medicare billing, Texas enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harris Health System
Acute Care Hospitals · Houston, TXOther Providers at the Same Location NPPES
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 William Pederson's NPI number?
The NPI number for William Pederson is 1053387902. It was assigned to this individual provider in the NPPES registry on February 28, 2006.
Where is William Pederson located?
William Pederson practices at 1977 Butler Blvd Ste E6100, Houston, TX 77030. The listed phone number is (713) 798-6141.
What is William Pederson's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is William Pederson enrolled in Medicare?
Yes. William Pederson 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.
Which organizations bill Medicare for William Pederson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Pederson reassigns Medicare benefits to 5 organizations: Baylor College Of Medicine (Houston, TX), Texas Children's Physician Group (Houston, TX), Baylor College Of Medicine (Houston, TX), Children's Physician Services Of South Texas (Corpus Christi, TX) and Hand Center PA (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Pederson accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list William Pederson 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 William Pederson affiliated with any hospitals?
According to CMS data, William Pederson is affiliated with Harris Health System.
When was this NPI record last updated?
The NPPES record for William Pederson was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. William C Pederson, M.D. · NPI 1053387902
Plastic and Reconstructive Surgery physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1053387902 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** F1893 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1977 BUTLER BLVD STE E6100, Houston, TX 77030-4101
- **Phone:** (713) 798-6141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Baylor College Of Medicine (NPI 1881026664, Houston, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX); Baylor College Of Medicine (NPI 1053352914, Houston, TX); Children's Physician Services Of South Texas (NPI 1568658227, Corpus Christi, TX); Hand Center PA (NPI 1154398949, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 1978
## Record status
- **NPPES last updated:** December 29, 2025
- **Other identifiers:** Medicaid 133003703 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1053387902) · Data from the CMS NPPES public registry.