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SUESAN PEDERSEN MD
NPI 1558603837
Psychiatry & Neurology - Psychiatry in Escondido, CA

Active since March 25, 2013PECOS Enrolled
401 E VALLEY PKWY, ESCONDIDO, CA 92025(760) 737-6931 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2020, Oct 11, 2018 (2 updates tracked since 2018).

About Suesan Pedersen Md NPPES

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

SUESAN PEDERSEN MD (NPI 1558603837) is an individual psychiatry provider in Escondido, California, licensed in Texas (R7085) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558603837
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUESAN PEDERSENCredential: MD
Location Address401 E VALLEY PKWYEscondido, CA 92025-3317
Mailing Address425 N Date StEscondido, CA 92025-3413 · (760) 737-6931 · Fax (760) 741-2782
Phone(760) 737-6931
Sole ProprietorNo
Enumeration DateMarch 25, 2013
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1558603837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · R7085
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
401 E VALLEY PKWY, Escondido, CA 92025
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suesan Pedersen 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Suesan Pedersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Healthcare
0.4 mi
Federally Qualified Health Center (FQHC)
460 N ELM ST
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group
NPI 1598703647 (760) 520-8100
Memorial Hermann Medical Group
1,273 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750

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 92025 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 2

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

KATHLEEN WALSH NMW
Midwife
401 E VALLEY PKWY
ESCONDIDO, CA 92025
San Diego County (760) 737-2020
LINDA LAVERDIERE NP
Nurse Practitioner
401 E VALLEY PKWY
ESCONDIDO, CA 92025
San Diego County (760) 737-2020

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 Suesan Pedersen's NPI number?

The NPI number for Suesan Pedersen is 1558603837. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Suesan Pedersen located?

Suesan Pedersen practices at 401 E Valley Pkwy, Escondido, CA 92025. The listed phone number is (760) 737-6931.

What is Suesan Pedersen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Suesan Pedersen enrolled in Medicare?

Yes. Suesan Pedersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suesan Pedersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suesan Pedersen reassigns Medicare benefits to 2 organizations: Neighborhood Healthcare (Escondido, CA) and Memorial Hermann Medical Group (Fulshear, TX). Each 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 Suesan Pedersen'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 Suesan Pedersen was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.