JEFFREY ALLEN PEDERSON (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1285756486
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 PHYSICAL MEDICINE AND REHABILITATION in IA
Provider Addresses for JEFFREY ALLEN PEDERSON (D.O.)
12493 University Ave Ste 100
Clive, IA 503258286
Phone: (515) 358-0150
Fax: (515) 358-0149
Type: Location
1111 6th Ave - East Tower
Suite B3
Des Moines, IA 503142613
Phone: (515) 358-0100
Fax: (515) 358-0109
Type: Location
403 1st St SE
Belmond, IA 504211201
Phone: (641) 444-3500
Fax: (319) 343-1161
Type: Location
PO BOX 1475
DES MOINES, IA 503051475
Phone: (515) 358-9461
Fax: (515) 358-9489
Type: Mailing
12493 UNIVERSITY AVE STE 100
CLIVE, IA 503258286
Phone: (515) 358-9461
Fax: (515) 358-9489
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-06-22 • Largest payer in this snapshot: ABBVIE INC. ($119).
Total Amount
$119
General + Research + Ownership
Payments
1
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $119 |
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: 2009-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090819000301 | I | Physical Medicine And Rehabilitation | IA | 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 |
|---|---|---|---|---|
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 244 | 157 | $0 |
| 95910 | Nerve conduction, 7-8 studies | 67 | 63 | $0 |
| 95913 | Nerve conduction, 13 or more studies | 52 | 52 | $0 |
| 95911 | Nerve conduction, 9-10 studies | 34 | 34 | $0 |
Insurance plans in this area (ZIP 50325)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| P O D I A T R Y | IA | |
| Physical Therapist In Private Practice | MO | |
| P O D I A T R Y | IA | |
| Orthopedic Surgery, General Surgery | IA | |
| Sports Medicine, Family Practice | SD | |
| - | IA |
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.