DR. WILLIAM C PEDERSON M.D.
NPI 1053387902
Surgery - Plastic and Reconstructive Surgery in Houston, TX

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
1977 BUTLER BLVD STE E6100, HOUSTON, TX 77030(713) 798-6141 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Dec 18, 2025, Oct 13, 2023 and 1 more (4 updates tracked since 2023).

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 and is a graduate of University Of Texas Southwestern Medical School At Dallas (1978).

NPPES Registry Identity

NPI1053387902
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. WILLIAM C PEDERSONCredential: M.D.
Location Address1977 BUTLER BLVD STE E6100Houston, TX 77030-4101
Mailing Address6701 Fannin St Ste 610.00Houston, TX 77030-2608 · (832) 822-3180
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1978
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 29, 20254 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1053387902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in TX · F1893
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License F1893 (TX)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License F1893 (TX)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License F1893 (TX)
1977 BUTLER BLVD STE E6100, Houston, TX 77030

Other Identifiers 1

Medicaid133003703TX

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

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.

PECOS PAC ID5597860890
PECOS Enrollment IDI20100415000254
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1977 BUTLER BLVD STE E6100
HOUSTON, TX 77030

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.

What insurance does William Pederson accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Moda Health Plan, Inc., Molina Healthcare and UnitedHealthcare and 1 other insurer 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.

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 7 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.