Doctor profile · Federal record

Dr. Keely Pedersen, PA-C

Physician Assistant · Lake Forest, IL

  • NPI 1619228624
  • Accepts Medicare
  • 17 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1000 N Westmoreland RD
Lake Forest, IL 600451658
(847) 535-6150
fax (847) 535-7801

Credentials & registration

NPPES · NUCC
NPI registered
October 2012 — 14 yrs on file
Profile last updated
November 11, 2024
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Illinois #085004520

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1619228624. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
204
Distinct HCPCS
6
Medicare allowed
$19,967
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 82 69 $114
99204 New patient office or other outpatient visit, 45-59 minutes 54 54 $150
81003 Automated urinalysis test 24 19 $2
71046 X-ray of chest, 2 views 20 20 $31
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 12 12 $140
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 12 12 $16

In context: peer comparison

Among 14 peers in this city , average services per provider: 56. This provider delivers 3.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
94
Patients
91
Total drug cost
$1,544
Drug Type Claims Patients Total cost
Doxycycline Hyclate Generic 34 33 $501
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 23 21 $751
Cephalexin Generic 19 19 $123
Azithromycin Generic 18 18 $169

Frequently asked questions

Auto-generated from federal data
What is Dr. Keely Pedersen's medical specialty?
Dr. Keely Pedersen practices Physician Assistant in Lake Forest, IL.
Where does Dr. Keely Pedersen practice?
Dr. Keely Pedersen practices at 1000 N Westmoreland RD, Lake Forest, IL 600451658. Office phone: 8475356150.
What is Dr. Keely Pedersen's NPI?
Dr. Keely Pedersen's National Provider Identifier (NPI) is 1619228624, issued by NPPES.
Does Dr. Keely Pedersen accept Medicare assignment?
Yes. Dr. Keely Pedersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Keely Pedersen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Automated urinalysis test (HCPCS 81003). Source: CMS Medicare Physician & Other Practitioners file.