NPIMap

Individual provider Active NPI

Terence Scott Pedersen, DPM, FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Yankton, SD
National Provider Identifier
1235213513
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
172 Issued in SD
Practice address
1000 W 4TH St
Ste 2
Yankton, SD 57078-3700
Phone
(605) 655-1200
Fax
(605) 655-1210
NPI assigned
Oct 24, 2006
Last updated
Aug 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 172 SD Primary

Addresses

Primary practice location

1000 W 4TH St
Ste 2
Yankton, SD 57078-3700

Mailing address

1000 W 4TH St
Ste 2
Yankton, SD 57078-3700
Phone (605) 655-1200

Other identifiers 3

IdentifierTypeStateIssuer
480033885OtherSDRAILROAD MEDICARE
6800553MedicaidSD
10025775000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090909000592 SD Practitioner - Podiatry 0244385565 Reassigns benefits to 1 organization
I20091020000516 NE Practitioner - Podiatry 0244385565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

1000 W 4TH St
Suite 8
Yankton, SD 57078-3700

409 Summit St
Suite 2500
Yankton, SD 57078-3739
Phone (605) 655-1710

409 Summit St
Suite 2600
Yankton, SD 57078-3746
Phone (605) 655-1200

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue150
Removal of skin lesions1-10
Removal of nail tissue810
Removal or shaving of skin growth183
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
282NEMDPublic Health Dentist
172SDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services Foot & Ankle Surgery CurrentSince Sep 1, 2009 Accepting new patients
Sacred Heart Health Services CurrentSince Sep 1, 2009 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sacred Heart Health Services CurrentSince Sep 1, 2009 Accepting new patients

Locations

1503 Main St
Creighton, NE 68729
Phone (402) 358-5700

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

409 Summit St
Ste 2500
Yankton, SD 57078
Phone (605) 655-1710

409 Summit St
Ste 2600
Yankton, SD 57078
Phone (605) 655-1200

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

1000 W 4th St
Ste 2
Yankton, SD 57078
Phone (605) 668-8661

Interoperability endpoints

  • Direct secure messaging: terence.pedersen@avera.sdhealthlink.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1235213513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "STE 2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-655-1200",
            "fax_number": "605-655-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "STE 2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-655-1200",
            "fax_number": "605-655-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "TERENCE",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM, FACFAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033885",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800553",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025775000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.