DEBORAH STADFELT PEDERSON MD
NPI 1700912482
Anesthesiology in Corvallis, OR
About Deborah Stadfelt Pederson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBORAH STADFELT PEDERSON MD (NPI 1700912482) is an individual anesthesiology provider in Corvallis, Oregon, licensed in Oregon (MD155236) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Deborah Stadfelt Pederson Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Deborah Pederson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Corvallis, OR 97330
- Reassigned Medicare billing, Oregon enrollment
- 522 clinicians in this Medicare group
Salem, OR 97317
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Regional Medical Center
Acute Care Hospitals · Corvallis, ORMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
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 Deborah Pederson's NPI number?
The NPI number for Deborah Pederson is 1700912482. It was assigned to this individual provider in the NPPES registry on February 26, 2007. The provider is also known as Deborah Anne Stadfelt MD.
Where is Deborah Pederson located?
Deborah Pederson practices at 3600 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 768-5111.
What is Deborah Pederson's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Deborah Pederson enrolled in Medicare?
Yes. Deborah Pederson 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.
Which organizations bill Medicare for Deborah Pederson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Pederson reassigns Medicare benefits to 2 organizations: Good Samaritan Hospital Corvallis (Corvallis, OR) and South Salem Rehabilitation, LLC (Salem, OR). 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 Deborah Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Deborah Pederson affiliated with any hospitals?
According to CMS data, Deborah Pederson is affiliated with Good Samaritan Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Deborah Pederson was last updated on December 20, 2023. 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.
# Deborah Stadfelt Pederson, MD · NPI 1700912482
Anesthesiology physician in Corvallis, Oregon. Individual provider, active in the CMS NPPES registry since February 26, 2007.
## Identity
- **NPI:** 1700912482 (Entity type: Individual)
- **Enumerated:** February 26, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** MD155236 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 NW SAMARITAN DR, Corvallis, OR 97330-5472
- **Phone:** (541) 768-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Good Samaritan Hospital Corvallis (NPI 1962453134, Corvallis, OR); South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2003
## Record status
- **NPPES last updated:** December 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700912482) · Data from the CMS NPPES public registry.