MR. DAVID J. PEDERSEN PA-C
NPI 1669792339
Physician Assistant in Honolulu, HI

Q: What is David Pedersen's NPI number?

The NPI number for David Pedersen is 1669792339. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Q: What is David Pedersen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for David Pedersen was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment

2828 PAA ST, HONOLULU, HI 96819(808) 432-5700 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2021, Oct 21, 2020, Sep 25, 2020 (3 updates tracked since 2020).

On this page

About Mr. David J. Pedersen Pa-c NPPES

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

MR. DAVID J. PEDERSEN PA-C (NPI 1669792339) is an individual physician assistant in Honolulu, Hawaii, licensed in Hawaii (AMD-1332) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Wake Forest University School Of Medicine (2020).

NPPES Registry Identity

NPI1669792339

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. DAVID J. PEDERSENCredential: PA-C

Location Address2828 PAA STHonolulu, HI 96819-4430

Mailing Address2828 Paa StHonolulu, HI 96819-4430 · (808) 432-5700

Phone(808) 432-5700

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2020

Enumeration DateJune 4, 2010

Last NPPES UpdateMarch 19, 20243 updates tracked since enumeration

NPPES CertifiedMarch 19, 2024

✔ NPI 1669792339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in HI · AMD-1332

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9113570 (FL)

2828 PAA ST, Honolulu, HI 96819

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Wellpoint.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

Mr. David J. Pedersen Pa-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 ID5294155628

PECOS Enrollment IDI20240417003033

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.

Hospital Affiliations CMS Care Compare

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

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120011

Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96819 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

MICHELLE X. DELNEO M.D.

Internal Medicine (Gastroenterology)

2828 PAA ST
HONOLULU, HI 96819

Honolulu County (808) 432-5777

TARYN JENNINGS DPT

Physical Therapist

2828 PAA ST
HONOLULU, HI 96819

Honolulu County (833) 833-3333

DR. ROBERT C. PEDERSEN M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

2828 PAA ST
HONOLULU, HI 96819

Honolulu County (808) 432-5777

MS. WENDY K. ARUGA-GOTO OT

Occupational Therapist

2828 PAA ST
HONOLULU, HI 96819

Honolulu County (808) 432-5888

DR. HAN THIDIEU HEPTON PHARMD

Pharmacist

2828 PAA ST, SUITE # 2420A
HONOLULU, HI 96819

Honolulu County (808) 432-5775

CHRISTINA PARTYKA

Occupational Therapist

2828 PAA ST
HONOLULU, HI 96819

Honolulu County (808) 432-2000

MAY N. G. PAULELE BCBA

Behavior Analyst

2828 PAA ST
HONOLULU, HI 96819

Honolulu County (808) 432-5777

MONIQUE SHAREE HADDAD PHARMD

Pharmacist

2828 PAA ST
HONOLULU, HI 96819

Honolulu County (808) 432-8425

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 David Pedersen's NPI number?

The NPI number for David Pedersen is 1669792339. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is David Pedersen located?

David Pedersen practices at 2828 Paa St, Honolulu, HI 96819. The listed phone number is (808) 432-5700.

What is David Pedersen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Pedersen enrolled in Medicare?

Yes. David 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 David Pedersen accept?

Health plans from Kaiser Permanente and Wellpoint list David 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 David Pedersen affiliated with any hospitals?

According to CMS data, David Pedersen is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for David Pedersen was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.