Doctor profile · Federal record

Dr. Jeffrey Pedersen, DO

Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Spokane Valley, WA

  • NPI 1629151428
  • Accepts Medicare
  • 30 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
14402 E Sprague Ave
Spokane Valley, WA 992162167
(509) 922-2625
fax (509) 922-4001

Credentials & registration

NPPES · NUCC
NPI registered
October 2006 — 20 yrs on file
Profile last updated
April 28, 2021
Year of graduation
1996 — 30 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
Washington #OP00001642 · Idaho #O221
Medicaid (2)
WA #1043078 · ID #805453200

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629151428. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
279
Distinct HCPCS
6
Medicare allowed
$26,107
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 123 86 $89
99214 Established patient office or other outpatient visit, 30-39 minutes 70 54 $128
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 32 32 $128
G0008 Administration of influenza virus vaccine 21 20 $31
90662 Influenza vaccine split virus, preservative free 18 17 $72
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic 15 13 $14

In context: peer comparison

Among 21 peers in this city , average services per provider: 73. This provider delivers 3.8× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,711
Patients
511
Total drug cost
$23,570
Drug Type Claims Patients Total cost
Lisinopril Generic 245 67 $2,231
Atorvastatin Calcium Generic 232 75 $3,093
Levothyroxine Sodium Generic 157 36 $2,431
Amlodipine Besylate Generic 136 43 $1,546
Omeprazole Generic 107 36 $1,218
Losartan Potassium Generic 103 37 $1,427
Metformin Hcl Generic 103 25 $992
Hydrochlorothiazide Generic 98 32 $1,007
Simvastatin Generic 96 35 $1,046
Tamsulosin Hcl Generic 95 30 $1,960

Frequently asked questions

Auto-generated from federal data
What is Dr. Jeffrey Pedersen's medical specialty?
Dr. Jeffrey Pedersen practices Family Medicine Physician in Spokane Valley, WA.
Where does Dr. Jeffrey Pedersen practice?
Dr. Jeffrey Pedersen practices at 14402 E Sprague Ave, Spokane Valley, WA 992162167. Office phone: 5099222625.
What is Dr. Jeffrey Pedersen's NPI?
Dr. Jeffrey Pedersen's National Provider Identifier (NPI) is 1629151428, issued by NPPES.
Does Dr. Jeffrey Pedersen accept Medicare assignment?
Yes. Dr. Jeffrey Pedersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeffrey Pedersen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.