DAVID N PEDERSON (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1700857471
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
184 CARDIAC SURGERY in TX
Provider Addresses for DAVID N PEDERSON (MD)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 782293824
Phone: (210) 614-5400
Fax: (210) 614-2413
Type: Mailing
134 Menger Spgs Ste 1370
Boerne, TX 780067228
Phone: (830) 331-8000
Fax: (830) 331-8004
Type: Location
1139 E Sonterra Blvd Ste 520
San Antonio, TX 782584347
Phone: (210) 490-6000
Fax: (210) 490-4658
Type: Location
Methodist Ambulatory Surgery Center, 4411, Medical Drive, South Texas Medical Center, San Antonio, Bexar County, Texas, 78229, United States
STE 300
SAN ANTONIO, TX 782293824
Phone: (210) 614-5400
Fax: (210) 614-2413
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $10,637.
Total Amount is formed as General ($10,637) + Research ($0) + Ownership ($0) = $10,637.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Medtronic, Inc. ($4,373).
Total Amount
$10,637
General + Research + Ownership
Payments
121
Total payment records
General Amount
$10,637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $4,373 |
| Acutus Medical, Inc. | $2,806 |
| Boston Scientific Corporation | $1,721 |
| Biosense Webster, Inc. | $797 |
| Abbott Laboratories | $326 |
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: 2004-07-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040731000174 | I | Cardiac Electrophysiology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,333 | 779 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 1,071 | 407 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 964 | 315 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 780 | 467 | $0 |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 644 | 102 | $0 |
Insurance plans in this area (ZIP 78229)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | TX | 85610 | Blood test, clotting time | 376 | 45 |
| CARDIAC ELECTROPHYSIOLOGY | TX | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 34 | 32 |
| CARDIAC ELECTROPHYSIOLOGY | TX | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 128 | 74 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Peripheral Vascular Disease | TX | |
| Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | TX | |
| - | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Cardiac Electrophysiology | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX |
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