Daniel A. Pedersen, DO
NPI 1790066108ActiveIndividual· Family Medicine· Pottsville, PA
Family Medicine (DO) in Pottsville, Pennsylvania, trained at Rowan University School of Osteopathic Medicine (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $220,789 for 1,704 claims, against $20,454 paid for services in 2024.
Overview
| NPI | 1790066108 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2011 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Nov 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS021569 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Family Medicine | 207Q00000X | 25MB09405100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 330 across 39 procedure codes |
| Paid by Medicare | $20,454 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,704 · 3,764 30-day fills |
|---|---|
| Patients | 166 |
| Total drug cost | $220,789 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Rowan University School of Osteopathic Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Lehigh Valley Physician GroupAllentown, PA · 2,542 clinicians
Hospital affiliation
- Schuylkill Medical Center - South Jackson StreetPottsville, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 family medicine physicians in Pottsville · All family medicine physicians in Pennsylvania