DR. JANE CAROL PEDERSON (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1508147224
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JANE CAROL PEDERSON (M.D.)
9478 WEDGEWOOD DR
WOODBURY, MN 551259304
Phone: (651) 730-9471
Type: Location
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 554131761
Phone: (763) 587-7737
Fax: (763) 587-7069
Type: Location
9478 Wedgewood Dr
Woodbury, MN 551259304
Phone: (651) 730-9471
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-12-30
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 |
|---|---|---|---|---|
| I20111230000484 | I | Geriatric Medicine | MN | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 22 | 11 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 55125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Geriatric Medicine, Family Practice | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | MN |
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