JOHN C PEDERSEN (M.D.) – Plastic Surgery Physician, NPI 1396723409

JOHN C PEDERSEN (M.D.) is a healthcare provider. based in Fairlawn, Ohio. specializing in Plastic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 35--070058 (OH). The NPI Number for JOHN C PEDERSEN (M.D.) is 1396723409

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN C PEDERSEN (M.D.)
NPI
1396723409
Phone
(330) 443-0221
Address
270 S CLEVELAND MASSILLON RD STE C
Enumeration Date
9 January 2006
Last Update Date
18 October 2021

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
3303447400
Graduation Year
1991 (35 years ago)
PAC ID
7719016898
Group Practice PAC ID
4183529340
Professional Enrollment ID
I20100527000805
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JOHN C PEDERSEN (M.D.)

  • 270 S CLEVELAND MASSILLON RD STE C

    FAIRLAWN, OH 443336000

    Phone: (330) 443-0221

    Fax: (330) 303-1880

    Type: Location

  • Cleveland Clinic - Akron General Health & Wellness - Bath, 4125, Medina Road, Stoney Hill, Akron, Copley Township, Summit County, Ohio, 44333, United States

    #200A

    AKRON, OH 443332483

    Phone: (330) 344-3223

    Fax: (330) 665-8009

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($247).

Total Amount

$317

General + Research + Ownership

Payments

12

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44333)

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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: 4183529340View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Gynecological OncologyFL
-OH
A N E S T H E S I O L O G YIL
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
Rheumatology, Internal MedicineOH
Nurse PractitionerOH
-OH

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Frequently asked questions

How is JOHN C PEDERSEN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JOHN C PEDERSEN (M.D.) with NPI 1396723409.
Does CMS list JOHN C PEDERSEN (M.D.) as active?
Yes — JOHN C PEDERSEN (M.D.) is active in the NPI listing used on this page.
What healthcare role does JOHN C PEDERSEN (M.D.) hold?
Scheduling teams often label JOHN C PEDERSEN (M.D.) under Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN C PEDERSEN (M.D.) on a map?
Expect Fairlawn, Ohio as a primary anchor for JOHN C PEDERSEN (M.D.) unless the record lists multiple sites.
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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