DR. BEN LAWRENCE PEDERSON M.D.
NPI 1073856142
Family Medicine in Portland, OR

Q: 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.

Q: What is Ben Pederson's specialty?

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

Q: 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 5 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.

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment

4104 SE 82ND AVE STE 250, PORTLAND, OR 97266(503) 215-9850(503) 215-9855 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, Aug 21, 2017, Aug 8, 2017 and 1 more (4 updates tracked since 2017).

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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

NPI1073856142

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BEN LAWRENCE PEDERSONCredential: M.D.

Location Address4104 SE 82ND AVE STE 250Portland, OR 97266-2954

Mailing AddressPo Box 3158Portland, OR 97208-3158

Phone(503) 215-9850

Fax(503) 215-9855

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2013

Enumeration DateMarch 27, 2013

Last NPPES UpdateOctober 5, 20204 updates tracked since enumeration

NPPES CertifiedOctober 5, 2020

✔ NPI 1073856142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD171441

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.

4104 SE 82ND AVE STE 250, Portland, OR 97266

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

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.

PECOS PAC ID8022259613

PECOS Enrollment IDI20150623002865

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 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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

34 services29 patients

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.

33 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services14 patients

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.

29 services22 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

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, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380082

Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician 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.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

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Other Providers at the Same Location NPPES 10

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

DR. BRIANNA PICKERING MD

Family Medicine