ALEXANDER DAVID PEDERSON MD
NPI 1841307899
Pathology - Anatomic Pathology & Clinical Pathology in Belleville, IL

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
211 S 3RD ST, DEPT OF PATHOLOGY, BELLEVILLE, IL 62220(618) 234-2120(618) 222-4630 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexander David Pederson Md NPPES

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

ALEXANDER DAVID PEDERSON MD (NPI 1841307899) is an individual anatomic pathology & clinical pathology provider in Belleville, Illinois, licensed in Illinois (036-124938) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2001).

NPPES Registry Identity

NPI1841307899
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameALEXANDER DAVID PEDERSONCredential: MD
Location Address211 S 3RD ST, DEPT OF PATHOLOGYBelleville, IL 62220-1915
Mailing AddressPo Box 144333Orlando, FL 32814-4333 · (407) 422-9831 · Fax (407) 206-1767
Fax(618) 222-4630
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2001
Enumeration DateAugust 24, 2006
Last NPPES UpdateApril 16, 2012
NPI 1841307899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IL · 036-124938
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
211 S 3RD ST, Belleville, IL 62220

Other Identifiers 1

Medicare PIN212129002IL

Accepted 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

Alexander David 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 ID9133297922
PECOS Enrollment IDI20171201001703
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 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,190 services612 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
153 services47 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
151 services130 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
105 services95 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
93 services80 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
82 services57 patients

Hospital Affiliations CMS Care Compare 3

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62220 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

Nurse Anesthetist, Certified Registered
211 S 3RD ST
BELLEVILLE, IL 62220
Pharmacist
211 S 3RD ST
BELLEVILLE, IL 62220
Specialist
211 S 3RD ST
BELLEVILLE, IL 62220
Anesthesiology
211 S 3RD ST
BELLEVILLE, IL 62220
Internal Medicine (Critical Care Medicine)
211 S 3RD ST
BELLEVILLE, IL 62220
Emergency Medicine
211 S 3RD ST
BELLEVILLE, IL 62220
Anesthesiology
211 S 3RD ST
BELLEVILLE, IL 62220
Family Medicine
211 S 3RD ST
BELLEVILLE, IL 62220

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 Alexander Pederson's NPI number?

The NPI number for Alexander Pederson is 1841307899. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Alexander Pederson located?

Alexander Pederson practices at 211 S 3rd St Dept Of Pathology, Belleville, IL 62220. The listed phone number is (618) 234-2120.

What is Alexander Pederson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Alexander Pederson enrolled in Medicare?

Yes. Alexander 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 Alexander Pederson accept?

Health plans from Medica list Alexander 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 Alexander Pederson affiliated with any hospitals?

According to CMS data, Alexander Pederson is affiliated with Southeast Iowa Regional Medical Center, University Of Iowa Hospital & Clinics and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Alexander Pederson was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.