DR. LAURIE LYNN CEDERBERG
NPI 1457413585
Family Medicine in Santa Rosa, CA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
510 DOYLE PARK DR, SANTA ROSA, CA 95405(707) 526-1800(707) 526-9352 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Laurie Lynn Cederberg NPPES

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

DR. LAURIE LYNN CEDERBERG (NPI 1457413585) is an individual family medicine provider in Santa Rosa, California, licensed in California (G67287) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of University Of California, San Francisco School Of Medicine (1988).

NPPES Registry Identity

NPI1457413585
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAURIE LYNN CEDERBERG
Location Address510 DOYLE PARK DRSanta Rosa, CA 95405-4570
Mailing Address1535 Raegan WaySanta Rosa, CA 95405-4526
Fax(707) 526-9352
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1988
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 14, 2019
✔ NPI 1457413585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G67287
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
510 DOYLE PARK DR, Santa Rosa, CA 95405

Secondary Practice Location 1

Location 134 Mark West Springs Rd Fl 3Santa Rosa, CA 95403-1766 · Phone (707) 573-5240 · Fax (707) 573-5416

Other Identifiers 2

Medicaid00G672870CA
OtherG67287CA · Calif Med Lis

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Laurie Lynn Cederberg 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 ID3971605072
PECOS Enrollment IDI20070220000533
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.

Medicare Billing Reassignment

Medicare enrollment records show Laurie Cederberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 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.

Areas of Expertise CMS Part B claims 6

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.
130 services80 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.
120 services91 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
27 services27 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,445 services$0.37 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
510 DOYLE PARK DR
SANTA ROSA, CA 95405
Family Medicine
510 DOYLE PARK DR
SANTA ROSA, CA 95405
Physician Assistant
510 DOYLE PARK DR
SANTA ROSA, CA 95405
Physician Assistant
510 DOYLE PARK DR
SANTA ROSA, CA 95405
Family Medicine
510 DOYLE PARK DR
SANTA ROSA, CA 95405
Family Medicine
510 DOYLE PARK DR
SANTA ROSA, CA 95405
Marriage & Family Therapist
510 DOYLE PARK DR
SANTA ROSA, CA 95405
Nurse Practitioner (Family)
510 DOYLE PARK DR
SANTA ROSA, CA 95405

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 Laurie Cederberg's NPI number?

The NPI number for Laurie Cederberg is 1457413585. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Laurie Cederberg located?

Laurie Cederberg practices at 510 Doyle Park Dr, Santa Rosa, CA 95405. The listed phone number is (707) 526-1800.

What is Laurie Cederberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laurie Cederberg enrolled in Medicare?

Yes. Laurie Cederberg 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.

Which organization bills Medicare for Laurie Cederberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Cederberg reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). 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 Laurie Cederberg'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 Laurie Cederberg was last updated on May 14, 2019. 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.