DAVID ANDREW PEDERSEN MD
NPI 1972569200
Surgery in Tucson, AZ

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
81.93/100
CMS Quality Rating
1712 W ANKLAM RD, STE 103, TUCSON, AZ 85745(520) 622-7384(520) 622-4899 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Andrew Pedersen Md NPPES

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

DAVID ANDREW PEDERSEN MD (NPI 1972569200) is an individual surgery provider in Tucson, Arizona, licensed in Arizona (23255) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1990).

NPPES Registry Identity

NPI1972569200
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDAVID ANDREW PEDERSENCredential: MD
Location Address1712 W ANKLAM RD, STE 103Tucson, AZ 85745-2660
Mailing Address1712 W Anklam Rd, Ste 103Tucson, AZ 85745-2660 · (520) 622-7384 · Fax (520) 622-4899
Fax(520) 622-4899
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1990
Enumeration DateApril 25, 2006
Last NPPES UpdateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
NPI 1972569200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AZ · 23255
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.
1712 W ANKLAM RD, Tucson, AZ 85745

Other Identifiers 1

Medicaid313099AZ

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

David Andrew Pedersen 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 ID8325030992
PECOS Enrollment IDI20120119000446
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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
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.
36 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

81.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.57
Promoting Interoperability100
Improvement Activities40
Cost60.2

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
52%281 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Surgery
1712 W ANKLAM RD, SUITE 103
TUCSON, AZ 85745
Physician Assistant
1712 W ANKLAM RD, STE 103
TUCSON, AZ 85745
Surgery
1712 W ANKLAM RD, SUITE 103
TUCSON, AZ 85745

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 David Pedersen's NPI number?

The NPI number for David Pedersen is 1972569200. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is David Pedersen located?

David Pedersen practices at 1712 W Anklam Rd Ste 103, Tucson, AZ 85745. The listed phone number is (520) 622-7384.

What is David Pedersen's specialty?

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

Is David Pedersen enrolled in Medicare?

Yes. David Pedersen 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 David Pedersen accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list David Pedersen 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 David Pedersen was last updated on November 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.