JEFFREY CARL PEDERSEN D.C.
NPI 1639161516
Chiropractor in Pantego, TX

Q: What is Jeffrey Pedersen's NPI number?

The NPI number for Jeffrey Pedersen is 1639161516. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Jeffrey Pedersen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Pedersen was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 17, 2005Accepts Medicare Assignment

2920 W PARK ROW DR, #100, PANTEGO, TX 76013(817) 277-1111(817) 861-4593 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeffrey Carl Pedersen D.c. NPPES

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

JEFFREY CARL PEDERSEN D.C. (NPI 1639161516) is an individual chiropractor in Pantego, Texas, licensed in Texas (4106) and active in the NPI registry since August 2005. He is a graduate of Palmer College Chiropractic - Davenport (1984).

NPPES Registry Identity

NPI1639161516

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJEFFREY CARL PEDERSENCredential: D.C.

Location Address2920 W PARK ROW DR, #100Pantego, TX 76013-2041

Mailing Address2920 W Park Row Dr, #100Pantego, TX 76013-2041 · (817) 277-1111 · Fax (817) 861-4593

Phone(817) 277-1111

Fax(817) 861-4593

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - DavenportGraduated 1984

Enumeration DateAugust 17, 2005

Last NPPES UpdateJanuary 29, 2025

NPPES CertifiedJanuary 29, 2025

✔ NPI 1639161516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 4106

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2920 W PARK ROW DR, Pantego, TX 76013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Jeffrey Carl Pedersen D.c. 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 ID9931393493

PECOS Enrollment IDI20101029000154

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

429 services65 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

173 services38 patients

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 Jeffrey Pedersen's NPI number?

The NPI number for Jeffrey Pedersen is 1639161516. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Jeffrey Pedersen located?

Jeffrey Pedersen practices at 2920 W Park Row Dr #100, Pantego, TX 76013. The listed phone number is (817) 277-1111.

What is Jeffrey Pedersen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeffrey Pedersen enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Pedersen accept?

Health plans from UnitedHealthcare list Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Pedersen was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.