DR. WILLIAM C PEDERSON (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1053387902
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
588 PLASTIC AND RECONSTRUCTIVE SURGERY in TX
Provider Addresses for DR. WILLIAM C PEDERSON (M.D.)
6701 Fannin St Ste 610.00
Houston, TX 770302608
Phone: (832) 822-3180
Type: Location
1977 BUTLER BLVD STE E6100
HOUSTON, TX 770304101
Phone: (713) 798-6141
Type: Location
6701 FANNIN ST STE 610.00
HOUSTON, TX 770302608
Phone: (832) 822-3180
Type: Mailing
21, Spurs Lane, San Antonio, Bexar County, Texas, 78240, United States
SUITE 310
SAN ANTONIO, TX 782401669
Phone: (210) 558-7025
Fax: (210) 558-4664
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-04-07 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($145).
Total Amount
$265
General + Research + Ownership
Payments
5
Total payment records
General Amount
$265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $145 |
| Stryker Corporation | $120 |
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: 2010-04-15
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 |
|---|---|---|---|---|
| I20100415000254 | I | Plastic And Reconstructive Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | FL | |
| Emergency Medicine | TX | |
| Hospitalist, Internal Medicine | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Internal Medicine, Gastroenterology | MD | |
| Physical Therapist In Private Practice | TX | |
| Physician Assistant | TX | |
| General Surgery | TX |
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