RYAN D PEDERSON D.P.M.
NPI 1063605384
Podiatrist - Foot & Ankle Surgery in Coos Bay, OR

NPI Status: Active since August 21, 2007

Contact Information

1900 WOODLAND DR
COOS BAY, OR
ZIP 97420
Phone: (541) 267-5151
Fax: (541) 266-4506

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  • Individual
  • Male
  • Years of Experience 19
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RYAN PEDERSON

This page provides the complete NPI Profile along with additional information for Ryan Pederson, a provider established in Coos Bay, Oregon with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1063605384 assigned on August 2007. The practitioner's primary taxonomy code is 213ES0103X with license number DP151127 (OR). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1063605384
Provider Name
RYAN D PEDERSON D.P.M.
Gender
Male
Entity Type
Individual
Location Address
1900 WOODLAND DR COOS BAY, OR 97420
Location Phone
(541) 267-5151
Location Fax
(541) 266-4506
Mailing Address
1900 WOODLAND DR COOS BAY, OR 97420
Mailing Phone
(541) 269-5151
Mailing Fax
(541) 266-4506
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
Yes
Enumeration Date
08-21-2007
Last Update Date
03-30-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
DP151127
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Silver 6200 Individual and Family Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500623170MEDICAID (05)OR 

Medicare Participation & PECOS Enrollment Status

Ryan Pederson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ryan Pederson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5991839409

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100819000887

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf (HCPCS:L4387)

    1 DME suppliers used 25 Medicare Claims 25 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from medium joint

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

This service was performed 25 times for 18 patients

Aspiration and/or injection of fluid from small joint

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

This service was performed 47 times for 35 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 37 times for 17 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 152 times for 121 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 536 times for 349 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 12 times for 12 patients

Injection into tendon or ligament

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

This service was performed 26 times for 19 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 381 times for 68 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 20 times for 20 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 397 times for 397 patients

Permanent removal fingernail or toenail

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

This service was performed 71 times for 42 patients

Removal of fingernails or toenails, 1-5 nails

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

This service was performed 46 times for 33 patients

Removal of fingernails or toenails, 6 or more nails

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

This service was performed 267 times for 130 patients

Removal of noncancer thickened skin growth, 1 growth

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

This service was performed 71 times for 62 patients

Removal of noncancer thickened skin growth, 2-4 growths

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

This service was performed 131 times for 75 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 65 times for 24 patients

Removal of tissue from wound, 20.0 sq cm or less

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

This service was performed 17 times for 12 patients

Repair of toe tendon

A repair of a toe tendon is a surgical procedure to fix a damaged or torn tendon in your toe. This helps restore movement and reduce pain. The procedure involves making a small incision, mending the damaged tendon, and then closing the wound. Post-surgery, physical therapy may be needed for full recovery.

This service was performed 49 times for 29 patients

Simple separation of fingernail or toenail from nail bed, first nail

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

This service was performed 26 times for 25 patients

X-ray of ankle, minimum of 3 views

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

This service was performed 47 times for 33 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 281 times for 158 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ryan Pederson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BAY AREA HOSPITAL1775 THOMPSON ROAD
COOS BAY, OR 97420
(541) 269-8111Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063605384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012312010316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 0 + 3 + 1 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1063605384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174517528 MARY IRENE HERNANDEZ MPT, CWS
Individual
Physical Therapist1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1174507941DR. JOYCE GAIL BALLARD MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1578547139DR. LOWELL EDMUND KOBRIN PHD MD
Individual
Acupuncturist1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1326022997DR. PHILIP CAREY LAGESSE MD
Individual
Pediatrics1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1659355220DR. FRANK ANDRUS LARSON MD FACS
Individual
Surgery1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1447234018DR. ROBERT KENT LEVY MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1740264399DR. WILLIAM DRAWDY KING MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1962487124DR. DAVID EDWARD OELKE MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1225013485DR. BASIL PITTENGER MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1164407375DR. THOMAS FRANCIS MCANDREW MD
Individual
Family Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1669457883DR. CARLA DAWN MCKELVEY MD
Individual
Pediatrics1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1619952876DR. CHRISTOPHER MARTIN MULLER MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1043295207DR. DONNA LEE RABIN MD
Individual
Pediatrics1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1689659849DR. WARREN STEVEN RICHARDSON MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1447235668DR. THEODORE ROANDO MCNITT MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1639154875DR. THERESA AILEEN MUDAY MD
Individual
Family Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1548245707DR. FRANK YUTAKA MUKAIDA MD
Individual
Obstetrics & Gynecology1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1063498475DR. KENT DOUGLAS SHARMAN MD
Individual
Family Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1326024738DR. STEVEN GEORGE SHIMOTAKAHARA MD
Individual
Otolaryngology1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1144206558DR. ODED ZION SHULSINGER MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063605384, enumerated in the NPI registry as an "individual" on August 21, 2007

The provider is located at 1900 Woodland Dr Coos Bay, Or 97420 and the phone number is (541) 267-5151

The provider's speciality is Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider has more than 19 years of experience.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from medium joint, Aspiration and/or injection of fluid from small joint, Correction of toe joint deformity, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Initial hospital inpatient care per day, typically 50 minutes, Injection into tendon or ligament, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, Permanent removal fingernail or toenail, Removal of fingernails or toenails, 1-5 nails, Removal of fingernails or toenails, 6 or more nails, Removal of noncancer thickened skin growth, 1 growth, Removal of noncancer thickened skin growth, 2-4 growths, Removal of skin and tissue, 20.0 sq cm or less, Removal of tissue from wound, 20.0 sq cm or less, Repair of toe tendon, Simple separation of fingernail or toenail from nail bed, first nail, X-ray of ankle, minimum of 3 views and X-ray of foot, minimum of 3 views.

The practitioner is affiliated to the following hospital(s): BAY AREA HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.