JOHN R PEDERSON MD
NPI 1366536740
Pediatrics in Albuquerque, NM
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
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John R Pederson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Pederson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
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.
Which organization bills Medicare for John Pederson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pederson reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). The 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 John Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# John R Pederson, MD · NPI 1366536740
Pediatrics physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1366536740 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20030477 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 CENTRAL AVE SE, PMG PEDS HOSPITALISTS, Albuquerque, NM 87106-4930
- **Phone:** (505) 841-1063 · **Fax:** (505) 222-2695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2008
- **Other identifiers:** Medicare PIN 341328103; Medicare UPIN H94091; Medicaid 90776224 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1366536740) · Data from the CMS NPPES public registry.