MARK NEWMAN PEDERSON M.D.
NPI 1063457034
Radiology - Diagnostic Radiology in Burlingame, CA

Q: What is Mark Pederson's NPI number?

The NPI number for Mark Pederson is 1063457034. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Mark Pederson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mark Pederson was last updated on February 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment

1783 EL CAMINO REAL, BURLINGAME, CA 94010(650) 696-5515 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark Newman Pederson M.d. NPPES

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

MARK NEWMAN PEDERSON M.D. (NPI 1063457034) is an individual diagnostic radiology provider in Burlingame, California, licensed in California (G33814) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1972).

NPPES Registry Identity

NPI1063457034

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMARK NEWMAN PEDERSONCredential: M.D.

Location Address1783 EL CAMINO REALBurlingame, CA 94010-3205

Mailing AddressP.o. Box 6102Novato, CA 94948-6102 · (415) 884-3418

Phone(650) 696-5515

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1972

Enumeration DateJune 16, 2006

Last NPPES UpdateFebruary 6, 2009

✔ NPI 1063457034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · G33814

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1783 EL CAMINO REAL, Burlingame, CA 94010

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Other Identifiers 8

Medicare PIN00G338144CA

Medicaid00G338140CA

Medicare PIN00G338140CA

Medicare PIN00G338142CA

Medicare UPINA5688CA

Medicare PIN00G338145CA

Other300121863CA · Railroad Medicare

Medicare PIN00G338143CA

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

Mark Newman 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 ID1951474428

PECOS Enrollment IDI20080716000345

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 4

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

61 services61 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

61 services61 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

33 services32 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

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.

DR. NILOUFAR KHAMNEHEI M.D.

Internal Medicine

1783 EL CAMINO REAL
BURLINGAME, CA 94010

San Mateo County (650) 696-5400

PENINSULA PATHOLOGISTS MEDICAL GROUP INC.

Pathology (Anatomic Pathology & Clinical Pathology)

1783 EL CAMINO REAL, PATHOLOGY DEPT
BURLINGAME, CA 94010

San Mateo County (650) 696-5611

SUSAN ADLER MD

Anesthesiology

1783 EL CAMINO REAL
BURLINGAME, CA 94010

San Mateo County (650) 696-5400

DR. BRIAN LEE JOHNSON M.D.

Radiology (Diagnostic Radiology)

1783 EL CAMINO REAL
BURLINGAME, CA 94010

San Mateo County (650) 696-5515

JOHN CAMERON ECKELS MD

Anesthesiology

1783 EL CAMINO REAL
BURLINGAME, CA 94010

San Mateo County (650) 696-5400

JOHN STARKS WILSON JR. M.D.

Radiology (Diagnostic Radiology)

1783 EL CAMINO REAL
BURLINGAME, CA 94010

San Mateo County (650) 696-5515

WILLIAM MICHAEL STEPHENSON M.D.

Radiology (Diagnostic Radiology)

1783 EL CAMINO REAL
BURLINGAME, CA 94010

San Mateo County (650) 696-5515

DR. VINCENT WILLIAM TORNABENE M.D.

Emergency Medicine

1783 EL CAMINO REAL
BURLINGAME, CA 94010

San Mateo County (650) 696-5500

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 Mark Pederson's NPI number?

The NPI number for Mark Pederson is 1063457034. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Mark Pederson located?

Mark Pederson practices at 1783 El Camino Real, Burlingame, CA 94010. The listed phone number is (650) 696-5515.

What is Mark Pederson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Pederson enrolled in Medicare?

Yes. Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Pederson was last updated on February 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.