DR. BEN LAWRENCE PEDERSON M.D.
NPI 1073856142
Family Medicine in Portland, OR
About Dr. Ben Lawrence Pederson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BEN LAWRENCE PEDERSON M.D. (NPI 1073856142) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD171441) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of University Of Minnesota Medical School (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Ben Lawrence 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
4Medicare enrollment records show Ben Pederson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97266
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 676 clinicians in this Medicare group
Portland, OR 97214
- Reassigned Medicare billing, Oregon enrollment
- 3,207 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 229 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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Portland Medical Center
Acute Care Hospitals · Portland, ORProvidence Milwaukie Hospital
Acute Care Hospitals · Milwaukie, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97266 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ben Pederson's NPI number?
The NPI number for Ben Pederson is 1073856142. It was assigned to this individual provider in the NPPES registry on March 27, 2013.
Where is Ben Pederson located?
Ben Pederson practices at 4104 SE 82nd Ave Ste 250, Portland, OR 97266. The listed phone number is (503) 215-9850.
What is Ben Pederson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ben Pederson enrolled in Medicare?
Yes. Ben 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 Ben Pederson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ben Pederson reassigns Medicare benefits to 4 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Kaiser Foundation Health Plan Of The Northwest (Portland, OR) and Providence Health & Services Oregon (Milwaukie, OR). 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 Ben Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ben Pederson accept?
Health plans from Providence Health Plan list Ben 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 Ben Pederson affiliated with any hospitals?
According to CMS data, Ben Pederson is affiliated with Providence Portland Medical Center and Providence Milwaukie Hospital.
When was this NPI record last updated?
The NPPES record for Ben Pederson was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Ben Lawrence Pederson, M.D. · NPI 1073856142
Family Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 27, 2013.
## Identity
- **NPI:** 1073856142 (Entity type: Individual)
- **Enumerated:** March 27, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD171441 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4104 SE 82ND AVE STE 250, Portland, OR 97266-2954
- **Phone:** (503) 215-9850 · **Fax:** (503) 215-9855
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1679678866, Portland, OR); Providence Health & Services - Oregon (NPI 1003991845, Portland, OR); Kaiser Foundation Health Plan Of The Northwest (NPI 1063990695, Portland, OR); Providence Health & Services Oregon (NPI 1366536963, Milwaukie, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2013
## Record status
- **NPPES last updated:** October 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073856142) · Data from the CMS NPPES public registry.