RYAN D PEDERSON D.P.M.
NPI 1063605384
Podiatrist - Foot & Ankle Surgery in Coos Bay, OR

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
1900 WOODLAND DR, COOS BAY, OR 97420(541) 267-5151(541) 266-4506 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan D Pederson D.p.m. NPPES

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

RYAN D PEDERSON D.P.M. (NPI 1063605384) is an individual foot & ankle surgery provider in Coos Bay, Oregon, licensed in Oregon (DP151127) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063605384
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameRYAN D PEDERSONCredential: D.P.M.
Location Address1900 WOODLAND DRCoos Bay, OR 97420-2099
Mailing Address1900 Woodland DrCoos Bay, OR 97420-2099 · (541) 269-5151 · Fax (541) 266-4506
Fax(541) 266-4506
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 21, 2007
Last NPPES UpdateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
NPI 1063605384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OR · DP151127
1900 WOODLAND DR, Coos Bay, OR 97420

Other Identifiers 1

Medicaid500623170OR

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

Ryan D Pederson D.p.m. 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 ID5991839409
PECOS Enrollment IDI20100819000887
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 24

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
454 services316 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
450 services74 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
435 services176 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
375 services375 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
277 services186 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
136 services136 patients

Hospital Affiliations CMS Care Compare 2

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

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Lower Umpqua Hospital District

Critical Access Hospitals · Reedsport, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381311
Location600 Ranch RoadReedsport, OR 97467 · Douglas County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$128.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
1900 WOODLAND DR
COOS BAY, OR 97420
Physical Therapist
1900 WOODLAND DR
COOS BAY, OR 97420
Internal Medicine
1900 WOODLAND DR
COOS BAY, OR 97420
Pediatrics
1900 WOODLAND DR
COOS BAY, OR 97420
Pharmacist
1900 WOODLAND DR, SUITE A
COOS BAY, OR 97420
Surgery (Plastic and Reconstructive Surgery)
1900 WOODLAND DR
COOS BAY, OR 97420
Pediatrics
1900 WOODLAND DR
COOS BAY, OR 97420
Physician Assistant
1900 WOODLAND DR
COOS BAY, OR 97420

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 Ryan Pederson's NPI number?

The NPI number for Ryan Pederson is 1063605384. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Ryan Pederson located?

Ryan Pederson practices at 1900 Woodland Dr, Coos Bay, OR 97420. The listed phone number is (541) 267-5151.

What is Ryan Pederson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ryan Pederson enrolled in Medicare?

Yes. Ryan 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 Ryan Pederson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ryan 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 Ryan Pederson affiliated with any hospitals?

According to CMS data, Ryan Pederson is affiliated with Bay Area Hospital and Lower Umpqua Hospital District.

When was this NPI record last updated?

The NPPES record for Ryan Pederson was last updated on March 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.