Active NPI 1053403675 Individual Practitioner Male Practitioner

Paul Pedersen

Internal Medicine • Bloomington, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Paul Pedersen is a certified Internal Medicine practicing in Bloomington, IL. With approximately 49 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1977, Paul Pedersen delivers high-quality medical care to the local community at 1701 E COLLEGE AVE.

Paul Pedersen is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 E College Ave

Bloomington, IL 617042101

Telephone 3096643120

Fax 3096635742

Associated Practice Facility / Clinic

🏢 St Joseph Medical Center Facility NPI 1851330203

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bloomington, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +25.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

39 Specialists

Practicing in Bloomington, IL (7544 Statewide)

Telehealth Adoption Rate

12.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pedersen (49 Years) 49 Yrs

Bloomington Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	583	332	$293.77	$122.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	363	250	$49.00	$15.92
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	117	25	$184.00	$60.16
G0008 Administration of influenza virus vaccine	111	109	$33.94	$31.15
90653 Vaccine for influenza for injection into muscle	98	98	$75.00	$73.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	28	$59.92	$13.47
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	45	43	$50.00	$5.83
91320 Sarscv2 vac 30mcg trs-suc im	42	41	$148.00	$141.89
90480 Admn sarscov2 vacc 1 dose	42	41	$33.00	$32.34
83036 Hemoglobin A1C level	37	29	$60.97	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$208.00	$86.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$413.00	$173.59
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	23	16	$138.00	$45.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	21	$152.00	$50.75
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$482.00	$288.63
G0009 Administration of pneumococcal vaccine	15	15	$33.00	$31.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$424.00	$160.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$60.00	$21.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	524	330	$282.00	$122.56
G0008 Administration of influenza virus vaccine	98	98	$32.95	$29.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	94	94	$74.66	$73.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	28	$58.00	$13.41
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	50	50	$50.00	$5.92
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$200.00	$86.78
83036 Hemoglobin A1C level	34	29	$60.00	$9.52
G0009 Administration of pneumococcal vaccine	30	30	$32.00	$29.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$400.00	$172.81
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$450.00	$282.70
91320 Sarscv2 vac 30mcg trs-suc im	22	22	$148.00	$128.48
90480 Admn sarscov2 vacc 1 dose	20	20	$33.00	$32.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$410.00	$161.54
0124A Fee covid-19 vac 13 res	13	13	$60.00	$39.55
69209 Removal of impacted ear wax by washing	11	11	$134.73	$19.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	283	$270.12	$123.42
G0008 Administration of influenza virus vaccine	106	106	$32.00	$27.99
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	94	94	$55.94	$54.82
99213 Established patient office or other outpatient visit, typically 15 minutes	74	60	$191.68	$85.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	33	$55.81	$13.69
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	40	39	$42.75	$5.71
93793 Anticoagulant management of patient taking warfarin	37	24	$59.57	$10.97
0064A Adm sarscov2 50mcg/0.25mlbst	34	33	$60.00	$37.34
0124A Fee covid-19 vac 13 res	33	33	$60.00	$36.95
83036 Hemoglobin A1C level	25	20	$56.96	$9.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$401.82	$162.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$387.56	$174.88
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$27.00	$21.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	138	$266.00	$126.87
99213 Established patient office or other outpatient visit, typically 15 minutes	84	67	$179.95	$89.26
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	62	62	$26.00	$20.50
G0008 Administration of influenza virus vaccine	62	62	$30.00	$16.21
0011A Adm sarscov2 100mcg/0.5ml1st	26	26	$40.00	$38.01
0012A Adm sarscov2 100mcg/0.5ml2nd	26	26	$60.00	$38.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	18	$54.50	$13.66
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	18	18	$40.00	$38.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$54.00	$21.65
0064A Adm sarscov2 50mcg/0.25mlbst	13	13	$60.00	$38.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	92	$253.90	$106.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	45	44	$26.00	$19.54
G0008 Administration of influenza virus vaccine	45	44	$29.24	$16.16
99213 Established patient office or other outpatient visit, typically 15 minutes	36	26	$160.11	$73.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	19	$53.09	$13.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	16	$52.33	$22.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	86	$241.86	$104.68
G0008 Administration of influenza virus vaccine	43	43	$27.98	$15.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	43	43	$25.98	$18.65
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$153.17	$71.80
G0009 Administration of pneumococcal vaccine	11	11	$27.36	$15.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	81	$235.52	$104.66
99213 Established patient office or other outpatient visit, typically 15 minutes	48	31	$148.04	$70.79
G0008 Administration of influenza virus vaccine	42	42	$26.43	$19.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	42	42	$25.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	84	$228.94	$103.83
G0008 Administration of influenza virus vaccine	39	38	$25.00	$23.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$25.00	$18.65
99213 Established patient office or other outpatient visit, typically 15 minutes	36	27	$144.22	$70.44
G0009 Administration of pneumococcal vaccine	19	19	$25.00	$23.77

Medical Specialties & State Licenses

CMS Verified: 2020-10-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-059949

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036059949 (IL)

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Osf Multi-Specialty Group

1701 E College Ave, Bloomington, IL 617042101

Phone: 3096643130

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Carey Harris , NP

Nurse Practitioner

NPI 1013226794

Nurse Practitioner

Pamela Norris , NP

Nurse Practitioner

NPI 1275625865

Nurse Practitioner

Andrew Tharp , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1285013029

NURSEPRACTITIONER

Dr. Gustavo Galue , MD

Family Medicine

NPI 1295903359

Doctor of Medicine (M.D.)

Morgan Erwin , FAMILY NURSE PRACTIT

Nurse Practitioner - Family

NPI 1366277519

FAMILYNURSEPRACTIT

Abbi Carr , NP

Nurse Practitioner

NPI 1437434982

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2014

Registered at 1701 E COLLEGE AVE, BLOOMINGTON, IL 617042101 (Tel: 3096643000)

📍

Updated Business Mailing Address March 06, 2014

Registered at 1701 E COLLEGE AVE, BLOOMINGTON, IL 617042101 (Tel: 3096643000)

👤

Provider Name / Credentials Updated March 06, 2014

Recorded as PAUL PEDERSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2014

Internal Medicine (License #036-059949 in IL)

🟢

Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053403675

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 29, 2006

Last Update: October 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1701 E College Ave

Bloomington, IL 617042101

Phone: 3096643120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.