Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619228624 Individual Practitioner Female Practitioner

Keely E Pedersen , PA-C

Physician Assistant • Lake Forest, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keely Pedersen, PA-C is a certified Physician Assistant practicing in Lake Forest, IL. With approximately 17 years of clinical experience since completing medical education in 2009, Keely Pedersen delivers high-quality medical care to the local community at 1000 N WESTMORELAND RD.

Keely Pedersen maintains professional affiliations with Lake County Immediate Care, Llc, Northwestern Medical Faculty Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 N Westmoreland Rd

Lake Forest, IL 600451658

Telephone 8475356150
Fax 8475357801
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lake Forest, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +9.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
62 Specialists

Practicing in Lake Forest, IL (4958 Statewide)

Telehealth Adoption Rate
17.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pedersen (17 Years) 17 Yrs
Lake Forest Specialty Average (8.0 Years) 8.0 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
51 45 $214.00 $110.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $352.00 $146.95
71046 X-ray of chest, 2 views
13 13 $140.00 $27.19
81003 Automated urinalysis test
11 11 $26.00 $2.20

Medical Specialties & State Licenses

CMS Verified: 2024-11-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085004520

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Northwestern Medical Faculty Foundation

1000 Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Northwestern Medical Faculty Foundation

600 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475359510

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Lake County Immediate Care, Llc

724 N Green Bay Rd, Waukegan, IL 600852236

Phone: 8479018400

Northwestern Medical Faculty Foundation

1000 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475358500

Lake County Immediate Care, Llc

420 E Il Route 173, Antioch, IL 600027284

Phone: 8476529700

Practice Associates & Co-Workers

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

31 Associated Practitioners
Armando Comas , APRN, CNP

Nurse Practitioner

NPI 1043979115

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Sabrina Roth , PA-C

Physician Assistant

NPI 1134743164

Physician Assistant (Certified)

Dr. Steven Hodges , MD

Emergency Medicine - Emergency Medical Services

NPI 1164408910

Doctor of Medicine (M.D.)

Dr. Paul Been , DO

Emergency Medicine

NPI 1194969642

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Glimp , MD

Emergency Medicine - Emergency Medical Services

NPI 1205812047

Doctor of Medicine (M.D.)

Kimberly Rossin , PA

Physician Assistant - Surgical

NPI 1225094147

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 05, 2021

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8475356150)

📍
Updated Business Mailing Address May 05, 2021

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8475356150)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2021

Physician Assistant (License #085004520 in IL)

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2012

Registered at 720 FLORSHEIM DR, LIBERTYVILLE, IL 600483757 (Tel: 8472474000)

📍
Updated Business Mailing Address October 01, 2012

Registered at 900 RAND RD, SUITE 300, DES PLAINES, IL 600162359 (Tel: 8473243976)

👤
Provider Name / Credentials Updated October 01, 2012

Recorded as KEELY PEDERSEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619228624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2012
Last Update: November 11, 2024
Sole Proprietor: No

Mailing Address

1000 N Westmoreland Rd

Lake Forest, IL 600451658

Phone: 8475356150

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.