REBECCA L PEDERSEN (MD) – Family Medicine Physician, NPI 1770556672

REBECCA L PEDERSEN (MD) is a healthcare provider. based in Freeport, Illinois. specializing in FAMILY PRACTICE, HOSPITALIST, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036104690 (IL). The NPI Number for REBECCA L PEDERSEN (MD) is 1770556672

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA L PEDERSEN (MD)
NPI
1770556672
Phone
Not provided
Address
421 W EXCHANGE ST
Enumeration Date
10 February 2006
Last Update Date
25 October 2017

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8152353165
Graduation Year
1998 (28 years ago)
PAC ID
2163502246
Group Practice PAC ID
9234041682
Professional Enrollment ID
I20100123000135
Address ID
IL610326942FR3001XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for REBECCA L PEDERSEN (MD)

  • West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610324030

    Phone:

    Type: Mailing

  • 3001, Highland View Drive, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610326942

    Phone: (815) 599-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $730.

Total Amount is formed as General ($730) + Research ($0) + Ownership ($0) = $730.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: PFIZER INC. ($150).

Total Amount

$730

General + Research + Ownership

Payments

42

Total payment records

General Amount

$730

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-23

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100123000135IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes196113$0
36415Insertion of needle into vein for collection of blood sample15392$0
99213Established patient office or other outpatient visit, 20-29 minutes11985$0
81003Automated urinalysis test5028$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4532$0
View full utilization report →

Insurance plans in this area (ZIP 61032)

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Provider's Procedures

REBECCA L PEDERSEN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL85610Blood test, clotting time13617
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234041682View full group profile
NameSpecialtyState
Interventional CardiologyIL
Infectious Disease, Internal MedicineIL
Family PracticeIL
-DE
Family PracticeIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
Family PracticeIL
Orthopedic SurgeryIL
Family PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to REBECCA L PEDERSEN (MD)?
NPI 1770556672 is assigned to REBECCA L PEDERSEN (MD) under the national enumeration system.
Does this profile mean REBECCA L PEDERSEN (MD) is currently active?
Yes — REBECCA L PEDERSEN (MD) appears active in the national provider directory.
What does REBECCA L PEDERSEN (MD) treat or focus on?
Patients typically see REBECCA L PEDERSEN (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place REBECCA L PEDERSEN (MD)?
The snapshot lists Freeport, Illinois for REBECCA L PEDERSEN (MD); download NPPES for the complete set.
How can I contact REBECCA L PEDERSEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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