David Warren Pederson, DPM
NPI 1487668919ActiveIndividual· Podiatrist· St Louis Park, MN
Podiatrist (DPM) in St Louis Park, Minnesota, trained at College of Podiatric Med and Surgery, Des Moines University (class of 1995). 361 Medicare patients in 2024, $52,752 paid; all of their 233 Part D prescriptions were generic. Stryker Corporation reported $236.52 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1487668919 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | No |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 586 | MN |
| Podiatrist | 213E00000X | 12/00327 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 361 |
|---|---|
| Services billed | 1,015 across 44 procedure codes |
| Paid by Medicare | $52,752 |
Part D prescriptions in 2024
| Prescriptions (claims) | 233 · 362 30-day fills |
|---|---|
| Patients | 141 |
| Total drug cost | $3,062 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | College of Podiatric Med and Surgery, Des Moines University |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Podiatry |
Medical groups
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
Hospital affiliations
- Park Nicollet Methodist HospitalSaint Louis Park, MN
- St Francis Regional Medical CenterShakopee, MN
Industry payments (Open Payments)
- 2024$236.52 · 3 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $236.52 | 3 |
What the 2024 payments were for
- Food and Beverage$236.52 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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