DR. JASEN THOMAS PEDERSEN DPM
NPI 1114182326
Podiatrist - Foot & Ankle Surgery in Crestwood, KY

Q: What is Jasen Pedersen's NPI number?

The NPI number for Jasen Pedersen is 1114182326. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Q: What is Jasen Pedersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jasen Pedersen was last updated on April 27, 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.

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment

6400 WESTWIND WAY, SUITE B, CRESTWOOD, KY 40014(502) 276-9999(502) 276-9999 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jasen Thomas Pedersen Dpm NPPES

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

DR. JASEN THOMAS PEDERSEN DPM (NPI 1114182326) is an individual foot & ankle surgery provider in Crestwood, Kentucky, licensed in Kentucky (243971) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lagrange, and is a graduate of Kent State University College Of Podiatric Medicine (2008).

NPPES Registry Identity

NPI1114182326

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JASEN THOMAS PEDERSENCredential: DPM

Location Address6400 WESTWIND WAY, SUITE BCrestwood, KY 40014-6773

Mailing Address6400 Westwind Way, Suite BCrestwood, KY 40014-6773 · (502) 276-9999 · Fax (502) 276-9999

Phone(502) 276-9999

Fax(502) 276-9999

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2008

Enumeration DateJuly 28, 2008

Last NPPES UpdateApril 27, 2020

NPPES CertifiedApril 27, 2020

✔ NPI 1114182326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in KY · 243971

Also ListedPodiatristTaxonomy 213E00000X · License 243971 (KY)

6400 WESTWIND WAY, Crestwood, KY 40014

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Other Identifiers 2

Medicaid7100170810KY

Other000000866560KY · Anthem

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Jasen Thomas Pedersen Dpm 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 ID6507035565

PECOS Enrollment IDI20110808000621

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 11

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.

299 services173 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.

239 services67 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

136 services36 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.

120 services120 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

98 services17 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

83 services34 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

DISTLER, HUNTINGTON & BLAIR, PSC

Ophthalmology

6400 WESTWIND WAY
CRESTWOOD, KY 40014

Oldham County (502) 243-2257

DR. JOHN A. DISTLER MD

Ophthalmology

6400 WESTWIND WAY
CRESTWOOD, KY 40014

Oldham County (502) 243-2227

OLDHAM COUNTY FOOT & ANKLE PLLC

Podiatrist (Foot & Ankle Surgery)

6400 WESTWIND WAY, SUITE B
CRESTWOOD, KY 40014

Oldham County (502) 276-9999

DR. BRYAN M BLAIR MD

Ophthalmology

6400 WESTWIND WAY
CRESTWOOD, KY 40014

Oldham County (502) 243-2227

DR. ANNE CHADBURN HUNTINGTON MD

Ophthalmology

6400 WESTWIND WAY
CRESTWOOD, KY 40014

Oldham County (502) 243-2227

DR. ANDREW STEELE O.D.

Optometrist

6400 WESTWIND WAY
CRESTWOOD, KY 40014

Oldham County (502) 243-2227

DISTLER, HUNTINGTON & BLAIR PSC

Ophthalmology

6400 WESTWIND WAY
CRESTWOOD, KY 40014

Oldham County (502) 243-2227

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 Jasen Pedersen's NPI number?

The NPI number for Jasen Pedersen is 1114182326. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Jasen Pedersen located?

Jasen Pedersen practices at 6400 Westwind Way Suite B, Crestwood, KY 40014. The listed phone number is (502) 276-9999.

What is Jasen Pedersen's specialty?

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

Is Jasen Pedersen enrolled in Medicare?

Yes. Jasen Pedersen 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 Jasen Pedersen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jasen Pedersen 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 Jasen Pedersen affiliated with any hospitals?

According to CMS data, Jasen Pedersen is affiliated with Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Jasen Pedersen was last updated on April 27, 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.