IndividualActive
Dean Pedersen, M.D.
NPI 1760471015 · Family Medicine Physician · Fort Drum, NY
Dean Pedersen, M.D. is a Family Medicine Physician provider in Fort Drum, NY (NPI 1760471015).
Provider details
- NPI number
- 1760471015
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 19547 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
11050 Mount Belvedere Blvd
USA Meddac Attn: Credentials
Fort Drum, NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Approximate (ZIP-level) locationGet directions
Mailing address
11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Registry dates
- Enumerated
- 2005-10-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Dean Pedersen's NPI number?
- Dean Pedersen's National Provider Identifier (NPI) is 1760471015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dean Pedersen's specialty?
- Dean Pedersen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dean Pedersen located?
- Dean Pedersen's practice location on file with NPPES is 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438.
- What is Dean Pedersen's phone number?
- The practice phone number listed in the NPPES registry for Dean Pedersen is (315) 772-4025.
- Is Dean Pedersen's NPI active?
- Yes — Dean Pedersen's NPI (1760471015) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.