DR. JOSEPH T. PEDERSEN (M.D.) – Radiation Oncology Physician, NPI 1417969064

DR. JOSEPH T. PEDERSEN (M.D.) is a healthcare provider. based in Pikeville, Kentucky. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MD-067177-L (PA). The NPI Number for DR. JOSEPH T. PEDERSEN (M.D.) is 1417969064

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH T. PEDERSEN (M.D.)
NPI
1417969064
Phone
(606) 218-3500
Address
PO BOX 2917
Enumeration Date
12 August 2006
Last Update Date
11 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8435227800
Graduation Year
1994 (32 years ago)
PAC ID
5890759914
Group Practice PAC ID
7810809365
Professional Enrollment ID
I20251010004003
Address ID
SC299093782OK122XXNXXX504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

98 RADIATION ONCOLOGY in KY

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Provider Addresses for DR. JOSEPH T. PEDERSEN (M.D.)

  • Pikeville Post Office, Big Daddy's Road, Pikeville, Wayne County, North Carolina, 27863, United States

    PIKEVILLE, KY 415022917

    Phone: (606) 218-3500

    Type: Mailing

  • South Bypass Road, Pikeville, Pike County, Kentucky, 41501, United States

    PIKEVILLE, KY 415011689

    Phone: (606) 218-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($24).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2025-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20041117000834IRadiation OncologyNCTBD
I20130607000500IRadiation OncologyKYTBD
I20251010004003IRadiation OncologySCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41502)

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Provider's Procedures

DR. JOSEPH T. PEDERSEN (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYKY77263Management of radiation therapy, complex123118

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: 7810809365View full group profile
NameSpecialtyState
Sleep Medicine, Cardiovascular Disease (Cardiology)SC
Emergency MedicineSC
Certified Nurse Midwife (Cnm)SC
Nurse PractitionerSC
Physician AssistantSC
-SC
P S Y C H I A T R YCO
Physician AssistantSC
-SC
Family PracticeNC

Reviews

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Frequently asked questions

Can I verify DR. JOSEPH T. PEDERSEN (M.D.) with an NPI only?
You can start verification with NPI 1417969064 for DR. JOSEPH T. PEDERSEN (M.D.), then check state licensing separately.
Does CMS list DR. JOSEPH T. PEDERSEN (M.D.) as active?
Yes — DR. JOSEPH T. PEDERSEN (M.D.) is active in the NPI listing used on this page.
What is DR. JOSEPH T. PEDERSEN (M.D.) best known for clinically?
Directory data describes DR. JOSEPH T. PEDERSEN (M.D.) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JOSEPH T. PEDERSEN (M.D.) on a map?
Expect Pikeville, Kentucky as a primary anchor for DR. JOSEPH T. PEDERSEN (M.D.) unless the record lists multiple sites.
Why does DR. JOSEPH T. PEDERSEN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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