SARAH ELIZABETH PEDERSEN (PA) – Physician Assistant, NPI 1134599210
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for SARAH ELIZABETH PEDERSEN (PA)
3107 FREDERICK AVE
SAINT JOSEPH, MO 645062956
Phone: (816) 935-9422
Fax: (816) 364-2575
Type: Mailing
5301 FARAON ST
C
SAINT JOSEPH, MO 645063512
Phone: (816) 437-8122
Fax: (816) 407-9609
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $514.
Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ACUMED LLC ($207).
Total Amount
$514
General + Research + Ownership
Payments
17
Total payment records
General Amount
$514
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $207 |
| Stryker Corporation | $135 |
| Radius Health, Inc. | $66 |
| Smith+Nephew, Inc. | $20 |
| Pacira Pharmaceuticals Incorporated | $20 |
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: 2015-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (888 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20151204001403 | I | Physician Assistant | MO | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 265 | 234 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 120 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 118 | 91 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 112 | 102 | $0 |
| 73564 | X-ray of knee, 4 or more views | 78 | 69 | $0 |
Insurance plans in this area (ZIP 64506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 20610 | Aspiration and/or injection of large joint or joint capsule | 153 | 123 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Orthopedic Surgery | VA | |
| Orthopedic Surgery | MO | |
| Physician Assistant | GA | |
| Orthopedic Surgery | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physical Therapist In Private Practice | MO | |
| Orthopedic Surgery | MO | |
| Nurse Practitioner | MO |
Reviews
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