MARK NEWMAN PEDERSON (M.D.) – Diagnostic Radiology Physician, NPI 1063457034
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,812 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for MARK NEWMAN PEDERSON (M.D.)
P.O. BOX 6102
NOVATO, CA 949486102
Phone: (415) 884-3418
Type: Mailing
El Camino Real, Burlingame, San Mateo County, California, 94101, United States
BURLINGAME, CA 940103205
Phone: (650) 696-5515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Aidoc Medical Ltd ($70).
Total Amount
$70
General + Research + Ownership
Payments
1
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aidoc Medical Ltd | $70 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-16
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080716000345 | I | Diagnostic Radiology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 85 | 85 | $0 |
| 71046 | X-ray of chest, 2 views | 38 | 38 | $0 |
| 71045 | X-ray of chest, 1 view | 29 | 28 | $0 |
| 77063 | Screening 3d breast mammography | 25 | 25 | $0 |
| 73564 | X-ray of knee, 4 or more views | 25 | 25 | $0 |
Insurance plans in this area (ZIP 94948)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Family Practice | WA | |
| - | CT | |
| P S Y C H I A T R Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| Neurology, Neuropsychiatry | CA | |
| A N E S T H E S I O L O G Y | CA | |
| - | CA |
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