Doctor profile · Federal record
Dr. Katherine Pederson, D.O.
Family Medicine Physician (CMS: Family Practice) · Mansfield, TX
- NPI 1902218852
- Accepts Medicare
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1757 Broad Park Cir N Ste 201
Mansfield, TX 760637839
(817) 806-1130
fax (817) 806-1133 - Mailing address
-
Po Box 6278
Fort Worth, TX 761150278
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- January 24, 2024
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Texas #Q7593
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902218852. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
578
Distinct HCPCS
10
Medicare allowed
$45,752
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 218 | 107 | $122 | |
98929 |
Osteopathic manipulative treatment, 9-10 body regions | 48 | 17 | $81 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 45 | 45 | $124 | |
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 44 | 11 | $0 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 44 | 11 | $1 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 40 | 40 | $18 | |
G0008 |
Administration of influenza virus vaccine | 32 | 32 | $30 | |
90662 |
Influenza vaccine split virus, preservative free | 30 | 30 | $72 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 22 | $87 | |
99497 |
Advance care planning, first 30 minutes | 21 | 21 | $79 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 66. This provider delivers 8.8× the peer median.Open Payments
Industry payments received
All-time total
$1,864
Transactions
26
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 2 | $1,392.76 | |
| AstraZeneca Pharmaceuticals LP | 6 | $108.31 | |
| Novo Nordisk Inc | 6 | $107.73 | |
| ABBVIE INC. | 4 | $87.22 | |
| Lilly USA, LLC | 4 | $70.86 | |
| SHIELD THERAPEUTICS INC | 1 | $40.89 | |
| GlaxoSmithKline, LLC. | 2 | $37.57 | |
| Janssen Pharmaceuticals, Inc | 1 | $18.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,241
Patients
388
Total drug cost
$18,089
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 185 | 59 | $3,278 |
| Lisinopril | Generic | 148 | 45 | $1,070 |
| Atorvastatin Calcium | Generic | 125 | 39 | $1,492 |
| Rosuvastatin Calcium | Generic | 116 | 36 | $1,794 |
| Losartan Potassium | Generic | 83 | 26 | $1,044 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 77 | 19 | $2,292 |
| Amlodipine Besylate | Generic | 76 | 28 | $405 |
| Pantoprazole Sodium | Generic | 65 | 18 | $1,121 |
| Gabapentin | Generic | 63 | 23 | $1,779 |
| Metoprolol Succinate | Generic | 52 | 12 | $911 |
Hospital affiliations
Frequently asked questions
What is Dr. Katherine Pederson's medical specialty?
Dr. Katherine Pederson practices Family Medicine Physician in Mansfield, TX.
Where does Dr. Katherine Pederson practice?
Dr. Katherine Pederson practices at 1757 Broad Park Cir N Ste 201, Mansfield, TX 760637839. Office phone: 8178061130.
What is Dr. Katherine Pederson's NPI?
Dr. Katherine Pederson's National Provider Identifier (NPI) is 1902218852, issued by NPPES.
Does Dr. Katherine Pederson accept Medicare assignment?
Yes. Dr. Katherine Pederson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Katherine Pederson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Osteopathic manipulative treatment, 9-10 body regions (HCPCS 98929); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.