TYLER CHRISTIAN PEDERSEN (M.D.) – Emergency Medicine Physician, NPI 1003034828

TYLER CHRISTIAN PEDERSEN (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. NE5284 (NE). The NPI Number for TYLER CHRISTIAN PEDERSEN (M.D.) is 1003034828

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
TYLER CHRISTIAN PEDERSEN (M.D.)
NPI
1003034828
Phone
(402) 559-6802
Address
981150 NEBRASKA MEDICAL CTR
Enumeration Date
24 April 2007
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
5094842460
Graduation Year
2005 (21 years ago)
PAC ID
4486727468
Group Practice PAC ID
1052594314
Professional Enrollment ID
I20110512000758
Address ID
WA992081224SP5633XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

239 EMERGENCY MEDICINE in NE

Provider Addresses for TYLER CHRISTIAN PEDERSEN (M.D.)

  • 981150 NEBRASKA MEDICAL CTR

    OMAHA, NE 681981150

    Phone: (402) 559-6802

    Type: Location

  • 5625 S 33RD AVE

    OMAHA, NE 681073328

    Phone: (402) 731-1193

    Type: Mailing

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: 2011-05-12

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
I20110512000758IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making176175$0
99284Emergency department visit with moderate level of medical decision making105102$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8580$0
99291Critical care, first 30-74 minutes3939$0
99283Emergency department visit with low level of medical decision making1514$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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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: 1052594314View full group profile
NameSpecialtyState
Emergency MedicineID
-WA
-WA
Physician AssistantWA
Nurse PractitionerWA
Emergency MedicineWA
Emergency MedicineAZ
Emergency MedicineWV
Physician AssistantWA
Emergency MedicineOH

Reviews

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Frequently asked questions

Does TYLER CHRISTIAN PEDERSEN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TYLER CHRISTIAN PEDERSEN (M.D.) uses 1003034828.
Does the file indicate TYLER CHRISTIAN PEDERSEN (M.D.) is practicing under active NPI?
Directory data currently reports TYLER CHRISTIAN PEDERSEN (M.D.) as active.
What healthcare role does TYLER CHRISTIAN PEDERSEN (M.D.) hold?
Scheduling teams often label TYLER CHRISTIAN PEDERSEN (M.D.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does TYLER CHRISTIAN PEDERSEN (M.D.) list a practice location?
Patients near Omaha, Nebraska may find TYLER CHRISTIAN PEDERSEN (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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