Active NPI 1003892720 Individual Practitioner Male Practitioner

Dr. Paul Christen Pedersen , MD

General Practice • Barbourville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Pedersen, MD is a certified General Practice practicing in Barbourville, KY. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Pedersen delivers high-quality medical care to the local community at 602 KNOX ST.

Dr. Pedersen is affiliated with Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, hemoglobin a1c level, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

602 Knox St

Barbourville, KY 409061304

Telephone 6065466027

Fax 6065462084

Associated Practice Facility / Clinic

🏢 Knox Family Medicine Psc Facility NPI 1528138229

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Barbourville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Barbourville, KY (142 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pedersen (34 Years) 34 Yrs

Barbourville Specialty Average (34.0 Years) 34.0 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
36415 Insertion of needle into vein for collection of blood sample	66	53	$10.00	$8.53
83036 Hemoglobin A1C level	30	27	$31.00	$9.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83036 Hemoglobin A1C level	30	27	$31.00	$9.52
36415 Insertion of needle into vein for collection of blood sample	29	27	$10.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	45	38	$11.80	$2.95
81002 Urinalysis, manual test	13	12	$8.00	$3.42
81003 Automated urinalysis test	11	11	$7.09	$2.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	57	51	$13.00	$3.00
81003 Automated urinalysis test	31	26	$7.00	$2.25
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	12	$19.00	$5.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	84	67	$13.00	$2.98
81003 Automated urinalysis test	48	36	$6.40	$2.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	54	43	$6.00	$2.44
36415 Insertion of needle into vein for collection of blood sample	32	31	$13.00	$2.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$19.00	$7.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	40	31	$7.00	$2.71
36415 Insertion of needle into vein for collection of blood sample	29	26	$6.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	15	$4.00	$1.80
36415 Insertion of needle into vein for collection of blood sample	58	52	$6.00	$2.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	30	$46.00	$22.35
81003 Automated urinalysis test	53	45	$7.00	$3.02
90471 Administration of 1 vaccine	31	31	$46.00	$22.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	18	$203.00	$94.48

Medical Specialties & State Licenses

CMS Verified: 2020-12-07

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 31705

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64317050 (KY)

Commercial Insurance / Payer ID Rr Medicare

P01427263 (KY)

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

602 Knox St, Barbourville, KY 409061304

Phone: 6065466027

Practice Associates & Co-Workers

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

11 Associated Practitioners

Michelle Broughton , APRN

Nurse Practitioner

NPI 1053540674

Advanced Practice Registered Nurse

Dr. Amanda Herrell , DO

Family Medicine

NPI 1114449337

Doctor of Osteopathic Medicine (D.O.)

Dr. James West , MD

Family Medicine

NPI 1144206392

Doctor of Medicine (M.D.)

Cynthia Goodin , APRN

Nurse Practitioner - Family

NPI 1265820245

Advanced Practice Registered Nurse

Kathleen Flynn , PA-C

Physician Assistant

NPI 1275583262

Physician Assistant (Certified)

Anne Pedersen , PT

Physical Therapist

NPI 1386620938

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2016

Registered at 602 KNOX ST, BARBOURVILLE, KY 409061304 (Tel: 6065466027)

📍

Updated Business Mailing Address February 05, 2016

Registered at PO BOX 1325, CORBIN, KY 407021325 (Tel: 6065268131)

👤

Provider Name / Credentials Updated February 05, 2016

Recorded as PAUL PEDERSEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2016

General Practice (License #31705 in KY)

🟢

Initial NPI Registration & Enumeration December 15, 2005

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: 1003892720

Entity Type:

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

Enumeration Date: December 15, 2005

Last Update: December 07, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1325

Corbin, KY 407021325

Phone: 6065268131

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.