DR. TAYLOR NICOLE PEDERSEN (DO) – Family Medicine Physician, NPI 1043740202
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. TAYLOR NICOLE PEDERSEN (DO)
201 S ASH ST
BUFFALO, MO 656228674
Phone: (417) 345-4858
Fax: (417) 345-6866
Type: Mailing
1522, East A Street, Casper, Natrona County, Wyoming, 82601, United States
CASPER, WY 826012217
Phone: (307) 234-6161
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $1,731.
Total Amount is formed as General ($1,731) + Research ($0) + Ownership ($0) = $1,731.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Henry Schein, Inc. ($485).
Total Amount
$1,731
General + Research + Ownership
Payments
86
Total payment records
General Amount
$1,731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Henry Schein, Inc. | $485 |
| PFIZER INC. | $298 |
| AstraZeneca Pharmaceuticals LP | $290 |
| Lilly USA, LLC | $220 |
| Merck Sharp & Dohme LLC | $118 |
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: 2020-09-15
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 |
|---|---|---|---|---|
| I20200915003381 | I | Family Practice | MO | 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 65622)
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