DR. ANDREW DALE PEDERSEN M.D.
NPI 1548235393
Otolaryngology in Portland, OR

Q: What is Andrew Pedersen's NPI number?

The NPI number for Andrew Pedersen is 1548235393. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Andrew Pedersen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pedersen was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment

5050 NE HOYT ST, SUITE 655, PORTLAND, OR 97213(503) 488-2400(503) 231-0121 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2024, Dec 5, 2023, Nov 11, 2021 (3 updates tracked since 2021).

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About Dr. Andrew Dale Pedersen M.d. NPPES

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

DR. ANDREW DALE PEDERSEN M.D. (NPI 1548235393) is an individual otolaryngology provider in Portland, Oregon, licensed in Oregon (MD19567) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (1991).

NPPES Registry Identity

NPI1548235393

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. ANDREW DALE PEDERSENCredential: M.D.

Location Address5050 NE HOYT ST, SUITE 655Portland, OR 97213-2991

Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825

Phone(503) 488-2400

Fax(503) 231-0121

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1991

Enumeration DateFebruary 22, 2006

Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1548235393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in OR · MD19567✔ Licensed in WA · MD60381043

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

5050 NE HOYT ST, Portland, OR 97213

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Other Identifiers 2

Medicaid8448896WA

Medicaid080320OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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. Andrew Dale Pedersen M.d. 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 ID8820007347

PECOS Enrollment IDI20060411000800

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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

117 services117 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.

110 services83 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

26 services23 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

19 services19 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

17 services17 patients

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.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380082

Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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.

MS. MOLLY ANNE BREDENBERG PT

Physical Therapist

5050 NE HOYT ST
PORTLAND, OR 97213

Multnomah County (503) 215-0424

ALISON MITCHELL MD

Family Medicine

5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213

Multnomah County (503) 215-6480

JOHN EDWARD HEFFNER MD

Internal Medicine (Pulmonary Disease)

5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

Multnomah County (503) 215-6600

DR. THERESA MARIE MORIKAWA PHARMD, BCACP

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

5050 NE HOYT ST
PORTLAND, OR 97213

Multnomah County (503) 215-6296

JAMES H IMATANI, JR. M.D., PC

Surgery (Surgical Oncology)

5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213

Multnomah County (503) 467-4761

DONALD ANDREW YOUNG III MD

Urology

5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213

Multnomah County (503) 488-2323

SPECIALTY SURGERY PC

Surgery

5050 NE HOYT ST, STE 511
PORTLAND, OR 97213

Multnomah County (503) 232-0942

GRETCHEN E VANDERBEEK MD

Internal Medicine

5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

Multnomah County (503) 215-6600

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 Pedersen's NPI number?

The NPI number for Andrew Pedersen is 1548235393. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Andrew Pedersen located?

Andrew Pedersen practices at 5050 NE Hoyt St Suite 655, Portland, OR 97213. The listed phone number is (503) 488-2400.

What is Andrew Pedersen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Andrew Pedersen enrolled in Medicare?

Yes. Andrew Pedersen 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 Andrew Pedersen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Andrew Pedersen 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 Andrew Pedersen affiliated with any hospitals?

According to CMS data, Andrew Pedersen is affiliated with Providence St Vincent Medical Center, Legacy Good Samaritan Medical Center, Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Pedersen was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.