ANTONIO PEDROZA MD
NPI 1063426344
Family Medicine in Renton, WA

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
3915 TALBOT RD S, STE 401, RENTON, WA 98055(425) 656-4224 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Pedroza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO PEDROZA MD (NPI 1063426344) is an individual family medicine provider in Renton, Washington, licensed in Washington (MD00025990) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of University Of Nevada School Of Medicine (1980).

NPPES Registry Identity

NPI1063426344
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTONIO PEDROZACredential: MD
Location Address3915 TALBOT RD S, STE 401Renton, WA 98055-5738
Mailing Address3600 Lind Ave Sw, Ste 100Renton, WA 98055-4934 · (425) 656-5412
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1980
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 28, 2010
NPI 1063426344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00025990
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License MD00025990 (WA)
3915 TALBOT RD S, Renton, WA 98055

Other Identifiers 2

Medicare UPINE33386WA
Medicare UPINE33386

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

Antonio Pedroza Md 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 ID5698706596
PECOS Enrollment IDI20050830000446
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Neuromusculoskeletal Medicine & OMM
3915 TALBOT RD S, STE 104
RENTON, WA 98055
Internal Medicine (Adolescent Medicine)
3915 TALBOT RD S, STE 401
RENTON, WA 98055
Psychiatry & Neurology (Neurology)
3915 TALBOT RD S, STE 104
RENTON, WA 98055
Family Medicine (Adult Medicine)
3915 TALBOT RD S, STE 401
RENTON, WA 98055
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S, STE 401
RENTON, WA 98055
Internal Medicine (Medical Oncology)
3915 TALBOT RD S, STE 300
RENTON, WA 98055
Dietitian, Registered
3915 TALBOT RD S, SUITE 200
RENTON, WA 98055
Pharmacy (Community/Retail Pharmacy)
3915 TALBOT RD S
RENTON, WA 98055

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 Antonio Pedroza's NPI number?

The NPI number for Antonio Pedroza is 1063426344. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Antonio Pedroza located?

Antonio Pedroza practices at 3915 Talbot Rd S Ste 401, Renton, WA 98055. The listed phone number is (425) 656-4224.

What is Antonio Pedroza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Antonio Pedroza enrolled in Medicare?

Yes. Antonio Pedroza 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 Antonio Pedroza accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Antonio Pedroza 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 Antonio Pedroza affiliated with any hospitals?

According to CMS data, Antonio Pedroza is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Antonio Pedroza was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.