Brian Pedersen, M.B.B.S.
NPI 1790913770 · Rheumatology Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Pedersen, M.B.B.S. is a Rheumatology Physician provider in La Jolla, CA (NPI 1790913770).
Provider details
- NPI number
- 1790913770
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S.
- Sex
- Male
- Sole proprietor
- No
- License
- A117531 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
517 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 186 | $136 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 134 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 69 | $99 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 45 | $177 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 124 | 38 |
| Prednisone | 100 | 34 |
| Hydroxychloroquine Sulfate | 93 | 27 |
| Tocilizumabbrand: Actemra Actpen | 78 | — |
| Adalimumabbrand: Humira(cf) Pen | 76 | — |
| Etanerceptbrand: Enbrel Sureclick | 74 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-29
- Last updated
- 2016-01-15
Frequently asked questions
- What is Brian Pedersen's NPI number?
- Brian Pedersen's National Provider Identifier (NPI) is 1790913770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Pedersen's specialty?
- Brian Pedersen is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Brian Pedersen located?
- Brian Pedersen's practice location on file with NPPES is 9500 Gilman Dr Dept 656, La Jolla, CA 92093-0656.
- What is Brian Pedersen's phone number?
- The practice phone number listed in the NPPES registry for Brian Pedersen is (619) 543-6248.
- Does Brian Pedersen accept Medicare?
- Brian Pedersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Pedersen's NPI active?
- Yes — Brian Pedersen's NPI (1790913770) is active in the NPPES registry as of the last update on 2016-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.