MARK NEWMAN PEDERSON M.D.
NPI 1063457034
Radiology - Diagnostic Radiology in Burlingame, CA
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
Specialties & Licenses
Other Identifiers 8
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Mark Pederson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Bruno, CA 94066
- Reassigned Medicare billing, California enrollment
- 597 clinicians in this Medicare group
San Francisco, CA 94109
- Reassigned Medicare billing, California enrollment
- 96 clinicians in this Medicare group
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 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.
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.
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.
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.
BURLINGAME, CA 94010
BURLINGAME, CA 94010
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.
Which organizations bill Medicare for Mark Pederson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Pederson reassigns Medicare benefits to 3 organizations: County Of San Mateo (San Bruno, CA), California Advanced Imaging Medical Associates Inc (San Francisco, CA) and Sutter Bay Medical Foundation (Palo Alto, CA). 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 Mark Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Pederson was last updated on February 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mark Newman Pederson, M.D. · NPI 1063457034
Diagnostic Radiology physician in Burlingame, California. Individual provider, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1063457034 (Entity type: Individual)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** G33814 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1783 EL CAMINO REAL, Burlingame, CA 94010-3205
- **Phone:** (650) 696-5515
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): County Of San Mateo (NPI 1215029087, San Bruno, CA); California Advanced Imaging Medical Associates Inc (NPI 1881646909, San Francisco, CA); Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 1972
## Record status
- **NPPES last updated:** February 6, 2009
- **Other identifiers:** Medicare PIN 00G338144 (CA); Medicaid 00G338140 (CA); Medicare PIN 00G338140 (CA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063457034) · Data from the CMS NPPES public registry.