NATHANIEL MARK PEDLEY MD
NPI 1669978532
Internal Medicine in Los Angeles, CA

Q: What is Nathaniel Pedley's NPI number?

The NPI number for Nathaniel Pedley is 1669978532. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Q: What is Nathaniel Pedley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: Is Nathaniel Pedley enrolled in Medicare?

No. Nathaniel Pedley has opted out of Medicare through August 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Pedley was last updated on July 19, 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.

Active since April 01, 2018Opted out of Medicare · through Aug 25, 2027

757 WESTWOOD PLZ STE 7501, LOS ANGELES, CA 90095(310) 825-7375 Get Directions Write a Review

NPPES record last updated: July 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nathaniel Mark Pedley Md NPPES

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

NATHANIEL MARK PEDLEY MD (NPI 1669978532) is an individual internal medicine provider in Los Angeles, California, licensed in California (164594) and active in the NPI registry since April 2018. He has opted out of Medicare through August 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669978532

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNATHANIEL MARK PEDLEYCredential: MD

Location Address757 WESTWOOD PLZ STE 7501Los Angeles, CA 90095-8358

Mailing Address757 Westwood Plz Ste 7501Los Angeles, CA 90095-8358 · (310) 825-7375

Phone(310) 825-7375

Sole ProprietorYes

Enumeration DateApril 1, 2018

Last NPPES UpdateJuly 19, 2020

NPPES CertifiedJuly 19, 2020

✔ NPI 1669978532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 164594

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

757 WESTWOOD PLZ STE 7501, Los Angeles, CA 90095

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nathaniel Mark Pedley Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 25, 2025 through August 25, 2027.

Opt-Out Effective DateAugust 25, 2025

Opt-Out In Effect ThroughAugust 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 4

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.

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

130 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.

109 services20 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

99 services16 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

81 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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.

ATHEER A RAZZOUK MD

Internal Medicine