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CLAIRE PEDERSON MD
NPI 1811215791
Surgery in Loveland, CO

Active since May 17, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2500 ROCKY MOUNTAIN AVE, STE 2200, LOVELAND, CO 80538(970) 203-7520(970) 203-7256 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Claire Pederson Md NPPES

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

CLAIRE PEDERSON MD (NPI 1811215791) is an individual surgery provider in Loveland, Colorado, licensed in Kansas (94-07367) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2010).

NPPES Registry Identity

NPI1811215791
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCLAIRE PEDERSONCredential: MD
Location Address2500 ROCKY MOUNTAIN AVE, STE 2200Loveland, CO 80538-9004
Mailing Address2500 Rocky Mountain Ave, Ste 2200Loveland, CO 80538-9004 · (970) 203-7520 · Fax (970) 203-7256
Phone(970) 203-7520
Fax(970) 203-7256
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2010
Enumeration DateMay 17, 2010
Last NPPES UpdateJune 27, 2016
✔ NPI 1811215791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KS · 94-07367✔ Licensed in CO · DR.0057100
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2500 ROCKY MOUNTAIN AVE, Loveland, CO 80538
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Other Identifiers 2

Medicare PINPENDINGCO
MedicaidPENDINGCO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, UnitedHealthcare.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

Claire 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.

PECOS PAC ID4688989809
PECOS Enrollment IDI20160715001346, I20161110002515
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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
20 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Medicare 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$4.92 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.

MEHRNOUSH NAZMI PA-C
Physician Assistant
2500 ROCKY MOUNTAIN AVE, SUITE 100
LOVELAND, CO 80538
Larimer County (970) 624-1800
DR. CHRISTOPHER E JONES MD, PHD
Internal Medicine
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (970) 624-2500
DR. WILLIAM LOPEZ JR. M.D.
Internal Medicine
2500 ROCKY MOUNTAIN AVE, NORTH MEDICAL OFFICE BUILDING
LOVELAND, CO 80538
Larimer County (970) 203-7050
DR. CHRISTOPHER DRUMM MITCHELL MD
Surgery
2500 ROCKY MOUNTAIN AVE, STE 2200
LOVELAND, CO 80538
Larimer County (970) 221-5878
DR. MARK D GUADAGNOLI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2500 ROCKY MOUNTAIN AVE, STE 100
LOVELAND, CO 80538
Larimer County (970) 624-1800
LUKE JENSEN
Nurse Anesthetist, Certified Registered
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (915) 202-4402
VANESSA KNAPP PHARMD
Pharmacist
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (970) 624-2500
ARDIS KERNS NP
Nurse Practitioner (Family)
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (970) 624-2000

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 Claire Pederson's NPI number?

The NPI number for Claire Pederson is 1811215791. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Claire Pederson located?

Claire Pederson practices at 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538. The listed phone number is (970) 203-7520.

What is Claire Pederson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Claire Pederson enrolled in Medicare?

Yes. Claire 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.

What insurance does Claire Pederson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Claire 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.

When was this NPI record last updated?

The NPPES record for Claire Pederson was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.