CLAIRE PEDERSON MD
NPI 1811215791
Surgery in Loveland, CO
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, is affiliated with Cheyenne Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Claire Pederson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loveland, CO 80538
- Reassigned Medicare billing, Colorado and Wyoming enrollments
- 2,596 clinicians in this Medicare group
Laramie, WY 82072
- Reassigned Medicare billing, Wyoming enrollment
- 146 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cheyenne Regional Medical Center
Acute Care Hospitals · Cheyenne, WYPhysician 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.
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.
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.
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.
LOVELAND, CO 80538
LOVELAND, CO 80538
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.
Which organizations bill Medicare for Claire Pederson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Claire Pederson reassigns Medicare benefits to 2 organizations: Poudre Valley Medical Group, LLC (Loveland, CO) and Ivinson Memorial Hospital (Laramie, WY). 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 Claire Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Claire Pederson accept?
Health plans from Blue Cross Blue Shield of Wyoming 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.
Is Claire Pederson affiliated with any hospitals?
According to CMS data, Claire Pederson is affiliated with Cheyenne Regional Medical Center.
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.
# Claire Pederson, MD · NPI 1811215791
Surgery physician in Loveland, Colorado. Individual provider, active in the CMS NPPES registry since May 17, 2010.
## Identity
- **NPI:** 1811215791 (Entity type: Individual)
- **Enumerated:** May 17, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 94-07367 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 ROCKY MOUNTAIN AVE, STE 2200, Loveland, CO 80538-9004
- **Phone:** (970) 203-7520 · **Fax:** (970) 203-7256
## 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): Poudre Valley Medical Group, LLC (NPI 1366763260, Loveland, CO); Ivinson Memorial Hospital (NPI 1033628599, Laramie, WY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** June 27, 2016
- **Other identifiers:** Medicare PIN PENDING (CO); Medicaid PENDING (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1811215791) · Data from the CMS NPPES public registry.