ERIC PEDERSON DO
NPI 1679001945
Family Medicine in Rapid City, SD

Q: What is Eric Pederson's NPI number?

The NPI number for Eric Pederson is 1679001945. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Q: What is Eric Pederson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Pederson was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 31, 2017PECOS Enrolled

502 E MONROE ST, RAPID CITY, SD 57701(605) 755-4060(605) 755-4012 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2020, May 31, 2017 (2 updates tracked since 2017).

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About Eric Pederson Do NPPES

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

ERIC PEDERSON DO (NPI 1679001945) is an individual family medicine provider in Rapid City, South Dakota, licensed in South Dakota (12132) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Alabama College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1679001945

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameERIC PEDERSONCredential: DO

Location Address502 E MONROE STRapid City, SD 57701-1400

Mailing Address502 E Monroe StRapid City, SD 57701-1400 · (605) 755-4060 · Fax (605) 755-4012

Phone(605) 755-4060

Fax(605) 755-4012

Sole ProprietorYes

Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2017

Enumeration DateMay 31, 2017

Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration

NPPES CertifiedOctober 7, 2020

✔ NPI 1679001945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 12132

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

502 E MONROE ST, Rapid City, SD 57701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Pederson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113295973

PECOS Enrollment IDI20240917001896

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.

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

SIERRA CONDO DO

Student in an Organized Health Care Education/Training Program