Doctor profile · Federal record
Dr. Paul Pedersen
Internal Medicine Physician (CMS: Internal Medicine) · Bloomington, IL
- NPI 1053403675
- Accepts Medicare
- 49 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1701 E College Ave
Bloomington, IL 617042101
(309) 664-3120
fax (309) 663-5742
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- October 5, 2020
- Year of graduation
- 1977 — 49 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Illinois #036-059949
- Medicaid
- IL #036059949
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053403675. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,055
Distinct HCPCS
10
Medicare allowed
$98,485
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 524 | 330 | $123 | |
G0008 |
Administration of influenza virus vaccine | 98 | 98 | $30 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 94 | 94 | $73 | |
96372 |
Injection of drug or substance under skin or into muscle | 52 | 28 | $13 | |
93005 |
Routine electrocardiogram (ecg) using at least 12 leads with tracing | 50 | 50 | $6 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 36 | 35 | $87 | |
83036 |
Hemoglobin a1c level | 34 | 29 | $10 | |
G0009 |
Administration of pneumococcal vaccine | 30 | 30 | $30 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 29 | 28 | $173 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | 26 | $283 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 132. This provider delivers 8.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
3,326
Patients
1,012
Total drug cost
$45,683
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 489 | 158 | $7,374 |
| Levothyroxine Sodium | Generic | 389 | 109 | $6,183 |
| Amlodipine Besylate | Generic | 344 | 105 | $3,650 |
| Lisinopril | Generic | 286 | 88 | $3,298 |
| Losartan Potassium | Generic | 207 | 62 | $2,742 |
| Metformin Hcl | Generic | 196 | 64 | $2,114 |
| Hydrochlorothiazide | Generic | 181 | 50 | $816 |
| Pravastatin Sodium | Generic | 179 | 54 | $3,495 |
| Metoprolol Succinate | Generic | 173 | 56 | $3,829 |
| Simvastatin | Generic | 173 | 50 | $1,705 |
Hospital affiliations
Frequently asked questions
What is Dr. Paul Pedersen's medical specialty?
Dr. Paul Pedersen practices Internal Medicine Physician in Bloomington, IL.
Where does Dr. Paul Pedersen practice?
Dr. Paul Pedersen practices at 1701 E College Ave, Bloomington, IL 617042101. Office phone: 3096643120.
What is Dr. Paul Pedersen's NPI?
Dr. Paul Pedersen's National Provider Identifier (NPI) is 1053403675, issued by NPPES.
Does Dr. Paul Pedersen accept Medicare assignment?
Yes. Dr. Paul Pedersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Pedersen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Administration of influenza virus vaccine (HCPCS G0008); Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS 90694). Source: CMS Medicare Physician & Other Practitioners file.