ANDREW C PEDERZOLLI MD INC
NPI 1184697294
Ophthalmology in Salem, OH

Q: What is Andrew C Pederzolli MD Inc's NPI number?

The NPI number for Andrew C Pederzolli MD Inc is 1184697294. It was assigned to this organization in the NPPES registry on February 9, 2006.

Q: What is Andrew C Pederzolli MD Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since February 09, 2006

1059 E STATE ST, SALEM, OH 44460(330) 332-9991(330) 332-2188 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Andrew C Pederzolli Md Inc NPPES

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

ANDREW C PEDERZOLLI MD INC (NPI 1184697294) is a healthcare organization registered as an ophthalmology in Salem, Ohio and active in the NPI registry since February 2006. The organization lists Andrew C Pederzolli, Owner, as its authorized official.

NPPES Registry Identity

NPI1184697294

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameANDREW C PEDERZOLLI MD INC

Location Address1059 E STATE STSalem, OH 44460

Mailing Address1059 E State StSalem, OH 44460 · (330) 332-9991 · Fax (330) 332-2188

Phone(330) 332-9991

Fax(330) 332-2188

Organization SubpartNo

Authorized OfficialAndrew C PederzolliOwner · (330) 332-9991

Enumeration DateFebruary 9, 2006

Last NPPES UpdateSeptember 14, 2010

✔ NPI 1184697294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1059 E STATE ST, Salem, OH 44460

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Other Identifiers 2

Medicaid0173771OH

Medicare PIN9277541OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew C Pederzolli Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Andrew C Pederzolli MD Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Bart Brine, MD

Ophthalmology

NPI 1164492930

1059 E STATE
Salem, OH 44460

(330) 332-9991

✔ PECOS✔ Accepts MedicareSame address

Andrew Pederzolli, MD

Ophthalmology

NPI 1730159559

1059 E STATE ST
Salem, OH 44460

(330) 332-9991

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Andrew C Pederzolli MD Inc's NPI number?

The NPI number for Andrew C Pederzolli MD Inc is 1184697294. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is Andrew C Pederzolli MD Inc located?

Andrew C Pederzolli MD Inc is located at 1059 E State St, Salem, OH 44460. The listed phone number is (330) 332-9991.

What is Andrew C Pederzolli MD Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Andrew C Pederzolli MD Inc enrolled in Medicare?

Yes. Andrew C Pederzolli MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrew C Pederzolli MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Andrew C Pederzolli MD Inc. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Andrew C Pederzolli MD Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Andrew C Pederzolli MD Inc 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 Andrew C Pederzolli MD Inc was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.