DR. KRISTI L. PEDLER MD
NPI 1972557049
Obstetrics & Gynecology in Sidney, OH

Active since May 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.78/100
CMS Quality Rating
915 W MICHIGAN ST, SIDNEY, OH 45365(937) 498-5513(937) 497-5674 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kristi L. Pedler Md NPPES

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

DR. KRISTI L. PEDLER MD (NPI 1972557049) is an individual obstetrics & gynecology provider in Sidney, Ohio, licensed in Ohio (87826) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (2006).

NPPES Registry Identity

NPI1972557049
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KRISTI L. PEDLERCredential: MD
Location Address915 W MICHIGAN STSidney, OH 45365
Mailing Address915 Michigan StSidney, OH 45365-2401 · (937) 498-5373 · Fax (937) 498-5377
Fax(937) 497-5674
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2006
Enumeration DateMay 21, 2006
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
NPI 1972557049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OH · 87826
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
915 W MICHIGAN ST, Sidney, OH 45365

Other Identifiers 1

Medicaid2658771OH

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

Dr. Kristi L. Pedler 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 ID1557374980
PECOS Enrollment IDI20060801000097
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services21 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45365 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.09
Promoting Interoperability100
Improvement Activities40
Cost74.18

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
915 W MICHIGAN ST
SIDNEY, OH 45365
General Acute Care Hospital
915 W MICHIGAN ST
SIDNEY, OH 45365
Surgery
915 W MICHIGAN ST
SIDNEY, OH 45365
Physical Therapist
915 W MICHIGAN ST
SIDNEY, OH 45365
Internal Medicine
915 W MICHIGAN ST
SIDNEY, OH 45365

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 Kristi Pedler's NPI number?

The NPI number for Kristi Pedler is 1972557049. It was assigned to this individual provider in the NPPES registry on May 21, 2006.

Where is Kristi Pedler located?

Kristi Pedler practices at 915 W Michigan St, Sidney, OH 45365. The listed phone number is (937) 498-5513.

What is Kristi Pedler's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristi Pedler enrolled in Medicare?

Yes. Kristi Pedler 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 Kristi Pedler accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Kristi Pedler 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 Kristi Pedler affiliated with any hospitals?

According to CMS data, Kristi Pedler is affiliated with Wilson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristi Pedler was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.