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DANIEL OLIVER PEDERSON D.O.
NPI 1811130669
Family Medicine in Bend, OR

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
2600 NE NEFF RD, BEND, OR 97701(541) 706-4800(541) 706-4806 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2024, Oct 21, 2019 (2 updates tracked since 2019).

About Daniel Oliver Pederson D.o. NPPES

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

DANIEL OLIVER PEDERSON D.O. (NPI 1811130669) is an individual family medicine provider in Bend, Oregon, licensed in California (20A17049) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Turlock.

NPPES Registry Identity

NPI1811130669
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL OLIVER PEDERSONCredential: D.O.
Location Address2600 NE NEFF RDBend, OR 97701-6337
Mailing Address1801 Colorado Ave Ste 120Turlock, CA 95382-2711 · (209) 216-3456 · Fax (209) 216-3462
Phone(541) 706-4800
Fax(541) 706-4806
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2009
Enumeration DateApril 9, 2009
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1811130669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A17049
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.
2600 NE NEFF RD, Bend, OR 97701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11801 Colorado Ave Ste 120Turlock, CA 95382-2711 · Phone (209) 216-3456 · Fax (209) 216-3462

Other Identifiers 1

Other1316963721CA · Private

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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

Daniel Oliver Pederson D.o. 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 ID2961659198
PECOS Enrollment IDI20120823000410
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Daniel Pederson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Charles Health System, Inc.
0.2 mi
Family Medicine
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 348 clinicians in this Medicare group
NPI 1023331303 (541) 382-4321
St. Charles Health System, Inc.
28 mi
Critical Access
470 NE A STREET
Madras, OR 97741
  • Reassigned Medicare billing, Oregon enrollment
  • 147 clinicians in this Medicare group
NPI 1356389894 (541) 475-3882
Sky Lakes Medical Center Inc
128 mi
General Acute Care Hospital
2865 DAGGETT AVE
Klamath Falls, OR 97601
  • Reassigned Medicare billing, Oregon enrollment
  • 355 clinicians in this Medicare group
NPI 1659340370 (541) 274-6221
Golden Valley Health Center
431 mi
Federally Qualified Health Center (FQHC)
302 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1477020121 (209) 239-5299
County Of Stanislaus
440 mi
Clinic/Center
1209 WOODROW AVE, STE. B-10
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1093910275 (209) 558-5312
Romeo Medical Corp
453 mi
Sports Medicine
1801 COLORADO AVE STE 120
Turlock, CA 95382
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1316963721 (209) 216-3456

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 5

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.

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.
73 services61 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers41 claims92 services$5.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers22 claims24 services$0.94 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$48.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers11 claims11 services$192.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LISA KRISTINE MIZEUR FNP
Nurse Practitioner (Family)
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-4800
MICHAEL R. HUDSON MD
Family Medicine
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-3700
AMY V ASHER DO
Family Medicine
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-4800
JACLYN SMITH NP
Nurse Practitioner
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-7735
DR. MELISSA R. ORMAN M.D.
Emergency Medicine
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-3700
FRANCES EMILY BIAGIOLI MD
Family Medicine
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-4800
SHANE M COLEMAN M.D., MPH
Psychiatry & Neurology (Psychiatry)
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-4800
DR. REBECCA JANE HERREMAN SCRAFFORD PSYD
Psychologist (Clinical)
2600 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6843

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 Daniel Pederson's NPI number?

The NPI number for Daniel Pederson is 1811130669. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Daniel Pederson located?

Daniel Pederson practices at 2600 NE Neff Rd, Bend, OR 97701. The listed phone number is (541) 706-4800.

What is Daniel Pederson's specialty?

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

Is Daniel Pederson enrolled in Medicare?

Yes. Daniel 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 Daniel Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Pederson reassigns Medicare benefits to 6 organizations: St. Charles Health System, Inc. (Bend, OR), St. Charles Health System, Inc. (Madras, OR), Sky Lakes Medical Center Inc (Klamath Falls, OR), Golden Valley Health Center (Manteca, CA), County Of Stanislaus (Modesto, CA) and 1 more organization, listed in the Medicare section above. 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 Daniel Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Pederson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Daniel Pederson 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 Daniel Pederson affiliated with any hospitals?

According to CMS data, Daniel Pederson is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Daniel Pederson was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.