Timothy S Pederson, MD - Medicare Anesthesiology in Portland, OR

Timothy S Pederson, MD is a medicare enrolled "Anesthesiology" physician in Portland, Oregon. He went to University Of Minnesota Medical School and graduated in 2012 and has 12 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 707 Sw Washington St, Suite 700, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 299-9906.

Timothy S Pederson is licensed to practice in Oregon (license number MD154531) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154353399.

Contact Information

Timothy S Pederson, MD
707 Sw Washington St, Suite 700,
Portland, OR 97205-3536
(503) 299-9906
(503) 225-9002

Map and Direction




Physician's Profile

Full NameTimothy S Pederson
GenderMale
SpecialityAnesthesiology
Experience12 Years
Location707 Sw Washington St, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy S Pederson attended and graduated from University Of Minnesota Medical School in 2012
  NPI Data:
  • NPI Number: 1154353399
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 10/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6800828708
  • Enrollment ID: I20120315000037

Medical Identifiers

Medical identifiers for Timothy S Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154353399NPI-NPPES
0188484MedicaidMA
500644374MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology MD154531 (Oregon)Primary
207L00000XAnesthesiology 213447 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Sunnyside Medical CenterClackamas, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301482

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy S Pederson allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy S Pederson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy S Pederson, MD
Po Box 35147, #1801,
Seattle, WA 98124-5147

Ph: (503) 299-9906
Timothy S Pederson, MD
707 Sw Washington St, Suite 700,
Portland, OR 97205-3536

Ph: (503) 299-9906

Reviews and Comments


Anesthesiology Doctors in Portland, OR

Dr. Frank E Palmrose, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sw Washington St, Ste 700, Portland, OR 97205
Phone: 503-299-9906    Fax: 503-225-9002
Dr. Thomas F Schrattenholzer, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1130 Nw 22nd Ave Ste 345, Portland, OR 97210
Phone: 503-413-7513    Fax: 503-413-7503
Dr. Lee E. Dorfman, DO, MS
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 120 Nw 14th Ave, Suite 300, Portland, OR 97209
Phone: 503-299-9906    Fax: 503-225-9002
Grace Chien, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239
Phone: 503-220-8262    
Dr. Diane Miller, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland Vamc, P3 Anes, Portland, OR 97239
Phone: 503-220-8262    Fax: 503-721-7859
Dr. Jeff Chen, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4910    Fax: 503-494-8368
Dr. Jeffrey Philip Mako, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sw Washington St, Suite 700, Portland, OR 97205
Phone: 503-299-9906    Fax: 503-225-9002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.