PAUL CHRISTEN PEDERSEN (M.D.) – General Practice Physician, NPI 1003892720

PAUL CHRISTEN PEDERSEN (M.D.) is a healthcare provider. based in Corbin, Kentucky. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 31705 (KY). The NPI Number for PAUL CHRISTEN PEDERSEN (M.D.) is 1003892720

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
PAUL CHRISTEN PEDERSEN (M.D.)
NPI
1003892720
Phone
(606) 526-8131
Address
PO BOX 1325
Enumeration Date
15 December 2005
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065466027
Graduation Year
1992 (34 years ago)
PAC ID
6406835560
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20040809000698
Address ID
KY409061304BA602XXSTXX300

Contacts

Secure Messaging
ppedersen4776@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

77 GENERAL PRACTICE in KY

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Provider Addresses for PAUL CHRISTEN PEDERSEN (M.D.)

  • Corbin Post Office, 301, Roy Kidd Avenue, Corbin, Whitley County, Kentucky, 40701, United States

    CORBIN, KY 407021325

    Phone: (606) 526-8131

    Fax: (606) 528-8661

    Type: Mailing

  • Knox Street, Barbourville, Knox County, Kentucky, 40906, United States

    BARBOURVILLE, KY 409061304

    Phone: (606) 546-6027

    Fax: (606) 546-2084

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $2,077.

Total Amount is formed as General ($2,077) + Research ($0) + Ownership ($0) = $2,077.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($542).

Total Amount

$2,077

General + Research + Ownership

Payments

100

Total payment records

General Amount

$2,077

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2004-08-09

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
I20040809000698IGeneral PracticeKYTBD

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
83036Hemoglobin a1c level3027$0
36415Insertion of needle into vein for collection of blood sample2927$0
View full utilization report →

Insurance plans in this area (ZIP 40702)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY
-FL

Reviews

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Frequently asked questions

Where can patients find PAUL CHRISTEN PEDERSEN (M.D.)'s NPI?
You can confirm PAUL CHRISTEN PEDERSEN (M.D.) with NPI 1003892720; it appears in the national provider directory.
Is PAUL CHRISTEN PEDERSEN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PAUL CHRISTEN PEDERSEN (M.D.)'s specialty in plain language?
Clinically, the directory lists PAUL CHRISTEN PEDERSEN (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PAUL CHRISTEN PEDERSEN (M.D.)?
The page summarizes Corbin, Kentucky for PAUL CHRISTEN PEDERSEN (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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