DANIEL ALAN PEDERSEN (DO) – Adult Medicine Physician, NPI 1619327780

DANIEL ALAN PEDERSEN (DO) is a healthcare provider. based in Vineland, New Jersey. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS16743 (FL). The NPI Number for DANIEL ALAN PEDERSEN (DO) is 1619327780

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL ALAN PEDERSEN (DO)
NPI
1619327780
Phone
(856) 641-8000
Address
1505 W SHERMAN AVE
Enumeration Date
20 June 2016
Last Update Date
3 February 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3527990046
Graduation Year
2016 (10 years ago)
PAC ID
5799106456
Group Practice PAC ID
1052776366
Professional Enrollment ID
I20200604001329
Address ID
FL346098102SP14690DRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,515 FAMILY PRACTICE in NJ

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Provider Addresses for DANIEL ALAN PEDERSEN (DO)

  • Inspira Medical Center Vineland, 1505, West Sherman Avenue, Vineland, Cumberland County, New Jersey, 08360, United States

    BOX 93

    VINELAND, NJ 083607059

    Phone: (856) 641-8000

    Type: Location

  • 8246 RIVER COUNTRY DR # 93

    WEEKI WACHEE, FL 346072101

    Phone: (352) 684-8637

    Type: Mailing

  • 8246 RIVER COUNTRY DR

    WEEKI WACHEE, FL 346072101

    Phone: (352) 684-8637

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,204.

Total Amount is formed as General ($1,204) + Research ($0) + Ownership ($0) = $1,204.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($295).

Total Amount

$1,204

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-04

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
I20200604001329IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2918$0
View full utilization report →

Insurance plans in this area (ZIP 08360)

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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: 1052776366View full group profile
NameSpecialtyState
Internal MedicineNJ
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineTX
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for DANIEL ALAN PEDERSEN (DO)?
Save NPI 1619327780 if you need a stable reference for DANIEL ALAN PEDERSEN (DO).
Is DANIEL ALAN PEDERSEN (DO)'s NPI currently valid?
The extract we use shows DANIEL ALAN PEDERSEN (DO) as active.
What kind of provider is DANIEL ALAN PEDERSEN (DO)?
The page reflects Adult Medicine Physician for DANIEL ALAN PEDERSEN (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DANIEL ALAN PEDERSEN (DO)?
The page summarizes Vineland, New Jersey for DANIEL ALAN PEDERSEN (DO); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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