Paul E. Pedersen
- Medicare services, 2024
- 1,645
- Medicare patients, 2024
- 429
- Part D claims, 2024
- 9,940
- Hospital affiliations
- 4
- Industry payments
- $733
- Practice address
- 1701 E College Ave, Bloomington, IL 61704
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
OSF Illinois Neurological Institute - HOPD
Acute Care Hospital outpatient department · Bloomington, Illinois
Find Paul Pedersen's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Paul E. Pedersen is an internist in Bloomington, Illinois
Paul Pedersen practices at OSF Illinois Neurological Institute - HOPD in Bloomington, Illinois.
Paul Pedersen's NPI, 1053403675, was assigned on September 29, 2006. Paul Pedersen graduated from University of Illinois College of Medicine - Chicago in 1977. Paul Pedersen holds Illinois license 036-059949.
- NPI
- 1053403675NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5799868907
- NPI enumeration date
- September 29, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 75
- Medical school graduation
- 1977
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Paul E. Pedersen practices at OSF Illinois Neurological Institute - HOPD in Bloomington, Illinois
Paul Pedersen's primary practice is OSF Illinois Neurological Institute - HOPD, at 1701 E College Ave, Bloomington, IL 61704.
- OSF Illinois Neurological Institute - HOPD1701 E College Ave, Bloomington, IL 61704
Source: Dmand AI Affiliation Data
Paul E. Pedersen is affiliated with 9 sites of care and 1 medical group
Paul Pedersen's primary practice is OSF Illinois Neurological Institute - HOPD in Bloomington, Illinois. Paul Pedersen is also affiliated with OSF St. Joseph Medical Center. The medical group on file is OSF Multi-Specialty Group. Dmand AI also links Paul Pedersen to 3 more hospitals, 1 breast imaging center, 1 group practice or clinic, 1 home health agency and 1 hospice, each named with a free account. Paul Pedersen's employer is on file too: a hospital.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Paul E. Pedersen's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Paul Pedersen practices, 9 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| OSF Illinois Neurological Institute - HOPD | Available with a free account |
| +8 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Paul E. Pedersen is one of 5,652 internists in Illinois
Internal medicine is Paul Pedersen's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Paul Pedersen is board certified in internal medicine by the American Board of Internal Medicine. Paul Pedersen is licensed in Illinois.
Specialties and state licenses
- Internal medicine, IllinoisPrimary
Clinical focus
Dmand AI lists acute sinusitis, acute skin infection, adjustment disease, aneurysm, ankle or foot injury, anxiety, arthritis and asthma among the conditions Paul Pedersen treats.
Internists near Paul Pedersen
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Paul E. Pedersen billed Medicare for 1,645 services in 2024
CMS data shows 1,645 Medicare services from Paul Pedersen across 18 procedure codes in 2024, for 429 Medicare patients. Medicare paid $87,044 for them. Every service was in an office.
Paul Pedersen's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 6052024: 80333%
- Other services
- 2023: 1412024: 511262%
- Tests and treatments
- 2023: 2642024: 29411%
- Lab and pathology
- 2023: 342024: 379%
- Surgery
- 2023: 112024: 0100%
Paul Pedersen compared with the Illinois median for internists, 2024
- Paul Pedersen
- Illinois median
- Medicare services
- 1,645vs 5662.9 times
- Medicare patients
- 429vs 2082.1 times
- Part D claims
- 9,165vs 28432.3 times
Medians across 5,192 internists in Illinois with Dmand AI profiles that report each measure.
Paul Pedersen's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Paul Pedersen?
Medicare shows one payer. Book a meeting to get commercial claims data for Paul Pedersen and other internists in Illinois.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Paul E. Pedersen treated 429 Medicare patients in 2024, average age 76
CMS counts 429 Medicare patients who saw Paul Pedersen in 2024. The largest group is 65 to 74, with 193 patients. 75% of them have high cholesterol, and 72% have high blood pressure. 7% are also on Medicaid. Their average risk score is 1.15, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Paul Pedersen's median patient age at 71, with 50% women.
Paul Pedersen's Medicare patients by age, 2024
Paul Pedersen's Medicare patients by sex, 2024
- Women21851%
- Men21149%
Chronic conditions among Paul Pedersen's Medicare patients, 2024
- High cholesterol75%
- High blood pressure72%
- Arthritis38%
- Diabetes27%
- Ischemic heart disease26%
- Chronic kidney disease23%
- Atrial fibrillation17%
- Anxiety15%
Share of Medicare patients with each condition. A patient can have several.
Paul Pedersen's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 71
Patient panel by sex, all payers
- Women50%
- Men50%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Paul E. Pedersen wrote 9,940 Medicare Part D claims in 2024
In 2024, Paul Pedersen wrote 9,940 Medicare Part D claims for 754 patients. 87% of them were for generic drugs. CMS names the drug for 9,165 of them, across 146 drugs with 11 or more claims each, at $731,784 in total drug cost. In 2023, CMS named 7,312 claims across 131 drugs.
Paul Pedersen's Part D claims by kind of drug, 2024
- Generic8,612 claims87%
- Brand-name1,223 claims12%
- Other105 claims1%
Paul Pedersen's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Paul Pedersen's Part D claims, 2024
- Opioids3%267 of 9,940 claims
- Antibiotics1%92 of 9,940 claims
- Antipsychotics, patients 65 and over0%44 of 9,940 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 7,3122024: 9,16525%
Drugs named by CMS: 146 in 2024, 131 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Paul E. Pedersen offers telehealth to Medicare patients
Paul Pedersen accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Paul Pedersen as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Paul E. Pedersen received $733 in industry payments from 2016 to 2025
CMS Open Payments shows 13 general payments to Paul Pedersen from 5 drug and device companies from 2016 to 2025. Travel and lodging make up the largest share, 73% of the total. Intuitive Surgical, Inc. paid the most, $534.
General payments to Paul Pedersen by program year, 2016 to 2025
General payments to Paul Pedersen by kind, 2016 to 2025
- Travel and lodging$53473%
- Food and beverage$19927%
Companies that paid Paul Pedersen the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Paul E. Pedersen has 4 awards and honors on record
Dmand AI lists 4 awards for Paul Pedersen, most recently CMS Stage 1 EHR in 2015.
Awards and honors for Paul Pedersen
- 2015
- CMS Stage 1 EHR
- NCQA PCMH
- 2014
- Bridges to Excellence
- 2013
- NCQA PPC
Source: Dmand AI Professional Profile Data
Paul E. Pedersen graduated from University of Illinois College of Medicine - Chicago
Paul Pedersen graduated from University of Illinois College of Medicine - Chicago in 1977.
- Medical school
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Paul E. Pedersen accepts plans from 19 insurance carriers
Paul Pedersen is in network with 19 carriers, including Aetna, HCSC and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Aetna
- HCSC
- United Healthcare
- Elevance
- Humana
- Aspirus Health Plan
- Blue Cross Blue Shield of Massachusetts
- Blue Cross Blue Shield of Michigan
- +11 more carriersWith a free account
Plan types Paul Pedersen accepts, by number of carriers
- PPO11
- HMO10
- Medicare9
- POS5
- EPO4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Paul E. Pedersen's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Paul E. Pedersen
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Paul E. Pedersen's NPI number?
Paul E. Pedersen's NPI number is 1053403675. It was assigned on September 29, 2006, and it is active in the NPI Registry.
What does Paul E. Pedersen specialize in?
Paul E. Pedersen is an internist in Bloomington, Illinois. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Paul E. Pedersen practice?
Paul Pedersen practices at 1701 E College Ave, Bloomington, IL 61704. Paul Pedersen's primary practice is OSF Illinois Neurological Institute - HOPD in Bloomington, Illinois. Dmand AI also links Paul Pedersen to 3 hospitals, 1 breast imaging center, 1 group practice or clinic, 1 home health agency and 1 hospice.
What is Paul E. Pedersen's medical license number?
Paul Pedersen holds Illinois license 036-059949.
Which hospitals is Paul E. Pedersen affiliated with?
Paul Pedersen is affiliated with OSF St. Joseph Medical Center. Dmand AI links Paul Pedersen to 3 more hospitals.
What medical group is Paul E. Pedersen part of?
Paul Pedersen is linked to OSF Multi-Specialty Group.
Does Paul E. Pedersen accept Medicare?
Yes. CMS data shows Paul Pedersen billed Medicare for 1,645 services in 2024, and Paul Pedersen accepts Medicare assignment.
Does Paul E. Pedersen offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Paul Pedersen as offering telehealth services.
How many Medicare patients does Paul E. Pedersen see?
CMS counts 429 Medicare patients who saw Paul Pedersen in 2024, with an average age of 76.
Is Paul E. Pedersen board certified?
Yes. Paul Pedersen is board certified in internal medicine by the American Board of Internal Medicine.
Show 6 more questionsShow fewer questions
What services does Paul E. Pedersen bill to Medicare?
In 2024, Paul Pedersen's most billed Medicare services were office visit, established patient (99214), medicare service (G2211) and care management and other visits (99490).
Where did Paul E. Pedersen go to medical school?
Paul Pedersen graduated from University of Illinois College of Medicine - Chicago in 1977.
What drugs does Paul E. Pedersen prescribe most?
In 2024 Medicare Part D data, Paul Pedersen's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Amlodipine Besylate.
Has Paul E. Pedersen received payments from drug or device companies?
CMS Open Payments shows $733 in general payments to Paul Pedersen from 5 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.
How long has Paul E. Pedersen been practicing?
Paul Pedersen graduated from medical school in 1977, 49 years ago.
What insurance does Paul E. Pedersen accept?
Paul Pedersen is in network with 19 carriers, including Aetna, HCSC and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
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