Doctor profile · Federal record
Dr. Aderonke Bamgbose Pederson, MD
Psychiatry Physician (CMS: Psychiatry) · Psychiatry Physician · Student in an Organized Health Care Education/Training Program · Boston, MA
- NPI 1396139655
- Accepts Medicare
- 11 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
55 Fruit St
Boston, MA 021142621
(617) 724-4100 - Additional location
-
55 Fogg RD
Weymouth, MA 021902432
(781) 624-8000 - Mailing address
-
64 Bertwell RD
Lexington, MA 024203330
Credentials & registration
- NPI registered
- March 2015 — 11 yrs on file
- Profile last updated
- June 1, 2023
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 2084P0800X — NUCC code
- State licenses (2)
- Massachusetts #T290198 · Illinois #1396139655
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396139655. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
24
Distinct HCPCS
1
Medicare allowed
$4,506
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 24 | 23 | $188 |
In context: peer comparison
Among 128 peers in this city , average services per provider: 69. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$2,183
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $2,182.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
45
Patients
0
Total drug cost
$1,478
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Bupropion Xl (Bupropion Hcl) | Brand | 18 | 0 | $619 |
| Sertraline Hcl | Generic | 15 | 0 | $619 |
| Venlafaxine Hcl Er (Venlafaxine Hcl) | Brand | 12 | 0 | $240 |
Frequently asked questions
What is Dr. Aderonke Bamgbose Pederson's medical specialty?
Dr. Aderonke Bamgbose Pederson practices Psychiatry Physician in Boston, MA.
Where does Dr. Aderonke Bamgbose Pederson practice?
Dr. Aderonke Bamgbose Pederson practices at 55 Fruit St, Boston, MA 021142621. Office phone: 6177244100.
What is Dr. Aderonke Bamgbose Pederson's NPI?
Dr. Aderonke Bamgbose Pederson's National Provider Identifier (NPI) is 1396139655, issued by NPPES.
Does Dr. Aderonke Bamgbose Pederson accept Medicare assignment?
Yes. Dr. Aderonke Bamgbose Pederson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Aderonke Bamgbose Pederson commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.