ALEX LOILAND PEDERSON (DO) – Diagnostic Radiology Physician, NPI 1083143192
Diagnostic Radiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
Provider Addresses for ALEX LOILAND PEDERSON (DO)
ONE HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 884-4082
Fax: (573) 884-6661
Type: Location
1 HOSPITAL DR # DC043.00
COLUMBIA, MO 652121000
Phone:
Type: Mailing
1 HOSPITAL DR # DC069.10
COLUMBIA, MO 652121000
Phone: (573) 882-1026
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $21 |
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: 2022-10-27
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 |
|---|---|---|---|---|
| I20221027000311 | I | Diagnostic Radiology | MO | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 116 | 110 | $0 |
| 73721 | Mri scan of leg joint without contrast | 96 | 93 | $0 |
| 71250 | Ct scan of chest without contrast | 81 | 81 | $0 |
| 73221 | Mri scan of arm joint without contrast | 67 | 66 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 47 | 47 | $0 |
Insurance plans in this area (ZIP 65212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| - | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| - | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology, Interventional Radiology | MO | |
| Diagnostic Radiology | MO | |
| - | MO | |
| Diagnostic Radiology | MO |
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