Paul Pedersen, M.D.
NPI 1003892720 · General Practice Physician · Barbourville, KY
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Pedersen, M.D. is a General Practice Physician provider in Barbourville, KY (NPI 1003892720).
Provider details
- NPI number
- 1003892720
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31705 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
96 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 66 | $9 |
| Hemoglobin A1c Level83036 | 30 | $10 |
Typical Medicare-allowed amounts for these services range $9–$10 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 224 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,128 | 228 |
| Losartan Potassium | 574 | 110 |
| Pantoprazole Sodium | 533 | 119 |
| Montelukast Sodium | 473 | 85 |
| Omeprazole | 467 | 90 |
| Gabapentin | 450 | 67 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,130 across 48 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-15
- Last updated
- 2020-12-07
- Certified
- 2020-12-07
Frequently asked questions
- What is Paul Pedersen's NPI number?
- Paul Pedersen's National Provider Identifier (NPI) is 1003892720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Pedersen's specialty?
- Paul Pedersen is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Pedersen located?
- Paul Pedersen's practice location on file with NPPES is 602 Knox St, Barbourville, KY 40906-1304.
- What is Paul Pedersen's phone number?
- The practice phone number listed in the NPPES registry for Paul Pedersen is (606) 546-6027.
- Does Paul Pedersen accept Medicare?
- Paul Pedersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Pedersen's NPI active?
- Yes — Paul Pedersen's NPI (1003892720) is active in the NPPES registry as of the last update on 2020-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.