1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Anesthesiology
  6. NPI Profile

TIMOTHY S PEDERSON MD
NPI 1154353399
Anesthesiology in Portland, OR

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205(503) 299-9906(503) 225-9002 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy S Pederson Md NPPES

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

TIMOTHY S PEDERSON MD (NPI 1154353399) is an individual anesthesiology provider in Portland, Oregon, licensed in Oregon (MD154531) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2012).

NPPES Registry Identity

NPI1154353399
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTIMOTHY S PEDERSONCredential: MD
Location Address707 SW WASHINGTON ST, SUITE 700Portland, OR 97205-3536
Mailing AddressPo Box 35147, #1801Seattle, WA 98124-5147 · (503) 299-9906 · Fax (503) 225-9002
Phone(503) 299-9906
Fax(503) 225-9002
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2012
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 18, 2018
✔ NPI 1154353399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in OR · MD154531✔ Licensed in MA · 213447
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
707 SW WASHINGTON ST, Portland, OR 97205
Open in Google Maps ↗

Other Identifiers 2

Medicaid0188484MA
Medicaid500644374OR

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

Timothy S Pederson Md 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 ID6800828708
PECOS Enrollment IDI20120315000037
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.

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.

DR. JEFFREY PHILIP MAKO M.D.
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. PATRICIA N PANCOAST MD
Anesthesiology
707 SW WASHINGTON ST, STE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. XIANGHUA PAN MD
Anesthesiology
707 SW WASHINGTON ST, STE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. BRENT D. ANDERSEN MD
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. MATTHEW BUCKON MD
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. NIKKI B JAWORSKI M.D.
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. JONATHAN T. GUDMAN MD
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. MATTHEW S.A. BOLES MD
Anesthesiology
707 SW WASHINGTON ST, STE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906

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 Timothy Pederson's NPI number?

The NPI number for Timothy Pederson is 1154353399. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Timothy Pederson located?

Timothy Pederson practices at 707 SW Washington St Suite 700, Portland, OR 97205. The listed phone number is (503) 299-9906.

What is Timothy Pederson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Timothy Pederson enrolled in Medicare?

Yes. Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Pederson was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.