DR. JOHN PATRICK PEDEN JR. MD
NPI 1265420350
Orthopaedic Surgery - Sports Medicine in Vero Beach, FL

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
96.63/100
CMS Quality Rating
3955 INDIAN RIVER BLVD STE 100, VERO BEACH, FL 32960(772) 569-2330(772) 569-2630 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2021, Aug 3, 2021 (2 updates tracked since 2021).

About Dr. John Patrick Peden Jr. Md NPPES

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

DR. JOHN PATRICK PEDEN JR. MD (NPI 1265420350) is an individual sports medicine provider in Vero Beach, Florida, licensed in Florida (ME96237) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of University Of Florida College Of Medicine (2000).

NPPES Registry Identity

NPI1265420350
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JOHN PATRICK PEDEN JR.Credential: MD
Location Address3955 INDIAN RIVER BLVD STE 100Vero Beach, FL 32960-4800
Mailing Address3955 Indian River Blvd Ste 100Vero Beach, FL 32960-4800 · (772) 569-2330 · Fax (772) 569-2630
Fax(772) 569-2630
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2000
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
NPI 1265420350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in FL · ME96237
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
3955 INDIAN RIVER BLVD STE 100, Vero Beach, FL 32960

Other Identifiers 1

Other56369FL · Bc Bs Provider Number

Accepted 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. John Patrick Peden Jr. 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 ID7214963164
PECOS Enrollment IDI20070116000064
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 27

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 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.
507 services370 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
500 services53 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
259 services220 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.
238 services176 patients
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.
150 services150 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
140 services35 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

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.

96.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier52 claims52 services$56.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960
Orthopaedic Surgery (Hand Surgery)
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960
Physician Assistant
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960
Orthopaedic Surgery (Sports Medicine)
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960
Neuromusculoskeletal Medicine & OMM
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960
Orthopaedic Surgery
3955 INDIAN RIVER BLVD STE 100
VERO BEACH, FL 32960

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 John Peden's NPI number?

The NPI number for John Peden is 1265420350. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is John Peden located?

John Peden practices at 3955 Indian River Blvd Ste 100, Vero Beach, FL 32960. The listed phone number is (772) 569-2330.

What is John Peden's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is John Peden enrolled in Medicare?

Yes. John Peden 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 John Peden accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list John Peden 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 John Peden affiliated with any hospitals?

According to CMS data, John Peden is affiliated with Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for John Peden was last updated on August 11, 2021. 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.