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DR. LEE CARL PEDERSON M.D.
NPI 1083690622
Surgery in Charlotte, NC

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1918 RANDOLPH RD STE 300, CHARLOTTE, NC 28207(704) 333-0741(704) 333-3356 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Mar 26, 2025, Aug 27, 2023 and 1 more (4 updates tracked since 2022).

About Dr. Lee Carl Pederson M.d. NPPES

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

DR. LEE CARL PEDERSON M.D. (NPI 1083690622) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (200300515) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1994).

NPPES Registry Identity

NPI1083690622
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LEE CARL PEDERSONCredential: M.D.
Location Address1918 RANDOLPH RD STE 300Charlotte, NC 28207-1112
Mailing AddressPo Box 604350Charlotte, NC 28260-4350
Phone(704) 333-0741
Fax(704) 333-3356
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1994
Enumeration DateDecember 15, 2005
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1083690622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 200300515
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1918 RANDOLPH RD STE 300, Charlotte, NC 28207
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Other Identifiers 1

Medicaid891344NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina.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. Lee Carl 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 ID5092789933
PECOS Enrollment IDI20040825000669
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 3

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.

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.
81 services81 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.
58 services53 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

DR. MARK AARON KUZICH D.O.
Surgery
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741
JASON SHADE BURGESS MD
Surgery
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741
NATALIE LYNN NOWAK D.O.
Surgery
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741
TAYLOR ELIZABETH WILCOX PA-C
Physician Assistant
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741
DR. RANDOLL TERRY CHRISTOPHER MD
Surgery
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741
NATALIE NADIA MERCHANT MD
Surgery
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741
DYLAN JAMES SKINNER DO
Surgery
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741
HANNAH LEIGH PHILLIPS MD
Surgery
1918 RANDOLPH RD STE 300
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-0741

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 Lee Pederson's NPI number?

The NPI number for Lee Pederson is 1083690622. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Lee Pederson located?

Lee Pederson practices at 1918 Randolph Rd Ste 300, Charlotte, NC 28207. The listed phone number is (704) 333-0741.

What is Lee Pederson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lee Pederson enrolled in Medicare?

Yes. Lee 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 Lee Pederson accept?

Health plans from Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina list Lee 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.

When was this NPI record last updated?

The NPPES record for Lee Pederson was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.