MR. DAVID J. PEDERSEN (PA-C) – Physician Assistant, NPI 1669792339
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
356 PHYSICIAN ASSISTANT in HI
Provider Addresses for MR. DAVID J. PEDERSEN (PA-C)
2828 PAA ST
HONOLULU, HI 968194430
Phone: (808) 432-5700
Type: Location
125 W TWELVE OAKS RD
RAEFORD, NC 283765639
Phone: (808) 366-9184
Type: Mailing
7550 43RD ST N
PINELLAS PARK, FL 337813601
Phone: (808) 366-9184
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,679.
Total Amount is formed as General ($1,679) + Research ($0) + Ownership ($0) = $1,679.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($399).
Total Amount
$1,679
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,679
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $399 |
| GlaxoSmithKline, LLC. | $271 |
| Bayer Healthcare Pharmaceuticals Inc. | $231 |
| ORPHALAN INC | $142 |
| AstraZeneca Pharmaceuticals LP | $130 |
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: 2024-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230323001667 | I | Physician Assistant | NC | TBD |
| I20240417003033 | I | Physician Assistant | HI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 95 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 83 | 83 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 36 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 23 | $0 |
Insurance plans in this area (ZIP 96819)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| O P T O M E T R Y | HI | |
| - | HI | |
| Physician Assistant | HI | |
| Emergency Medicine | VA | |
| Orthopedic Surgery | HI | |
| Internal Medicine | HI | |
| Orthopedic Surgery | HI | |
| - | HI | |
| - | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.