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JOHN R PEDERSON MD
NPI 1366536740
Pediatrics in Albuquerque, NM

Active since October 03, 2006PECOS Enrolled
1100 CENTRAL AVE SE, PMG PEDS HOSPITALISTS, ALBUQUERQUE, NM 87106(505) 841-1063(505) 222-2695 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John R Pederson Md NPPES

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

JOHN R PEDERSON MD (NPI 1366536740) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (20030477) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366536740
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN R PEDERSONCredential: MD
Location Address1100 CENTRAL AVE SE, PMG PEDS HOSPITALISTSAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Phone(505) 841-1063
Fax(505) 222-2695
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 16, 2008
✔ NPI 1366536740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · 20030477
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1100 CENTRAL AVE SE, Albuquerque, NM 87106
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Other Identifiers 3

Medicare PIN341328103
Medicare UPINH94091
Medicaid90776224NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John R Pederson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AUDRA DAWN CLEMENS PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
STEFANIE LEIGH RAITT PHARMD, PHC
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 681-4154
SARAH VERTREES D.O.
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1819
NICHOLAS WEISS D.O.
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
LUKE EZEKIEL GLAZENER PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
SARAH LEW
Student in an Organized Health Care Education/Training Program
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1234
NATALEE TRUEBA CCHW
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 554-8161
PATRICIA HERSON C.R.N.P.
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 252-7393

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 Pederson's NPI number?

The NPI number for John Pederson is 1366536740. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is John Pederson located?

John Pederson practices at 1100 Central Ave SE Pmg Peds Hospitalists, Albuquerque, NM 87106. The listed phone number is (505) 841-1063.

What is John Pederson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Pederson enrolled in Medicare?

Yes. John Pederson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Pederson was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.