Jeffrey Allen Pederson, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

DO-03976 Issued in IA

Practice address

12493 University Ave Ste 100
Clive, IA 50325-8286

Phone

(515) 358-9461

Fax

(515) 358-9489

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Orthopaedics and Sports Medicine PCGroup PAC ID 3476691551, 19 clinicians

Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iowa Specialty Hospital - Belmond Hospital, Belmond, IA, CCN 161301
• Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4
• Direct secure messaging: jeffrey.pederson.1@19659.direct.athenahealth.com

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

• Capital Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1932432457

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Belmond Community Hospital

  • Family Medicine Physician
  • Belmond, IA
  • NPI 1821122623
  Medicare reassignment NPD
• Belmond Community Hospital

  • Critical Access Hospital
  • Belmond, IA
  • NPI 1932142726
  Medicare reassignment NPD
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1396760153
  Medicare reassignment NPD
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1821045451
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  • Emergency Medicine Physician
  • Knoxville, IA
  • NPI 1770591661
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915
  Medicare reassignment NPD
• Cosm LLP

  • Orthopaedic Surgery Physician
  • Clive, IA
  • NPI 1972384519
  Medicare reassignment
• Knoxville Community Hospital Inc

  • Family Medicine Physician
  • Knoxville, IA
  • NPI 1578570677
  NPD
• Belmond Community Hospital

  • Ambulance
  • Belmond, IA
  • NPI 1659417764
  NPD (past)
• Capital Orthopaedics and Sports Medicine LLP

  • Orthopaedic Surgery Physician
  • Des Moines, IA
  • NPI 1407093008
  NPD (past)
• Iowa Specialty Hospital- Clarion

  • Medicare Defined Swing Bed Hospital Unit
  • Clarion, IA
  • NPI 1417993536
  NPD (past)

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

• Belmond Community Hospital

  • Critical Access Hospital
  • Belmond, IA
  • NPI 1932142726
  Care Compare affiliation
• Knoxville Community Hospital Inc

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915
  Care Compare affiliation
• Knoxville Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Knoxville, IA
  • NPI 1952319840
  Care Compare affiliation

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1285756486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-358-9461",
            "fax_number": "515-358-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12493 UNIVERSITY AVE STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258286",
            "telephone_number": "515-358-9461",
            "fax_number": "515-358-9489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Superior St",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "505953146",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-832-1114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-532-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Superior St",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "505953146",
            "country_code": "US",
            "telephone_number": "515-297-9260",
            "fax_number": "515-297-9261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "641-444-3500",
            "fax_number": "319-343-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 6th Ave - East Tower",
            "address_2": "Suite B3",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-358-0100",
            "fax_number": "515-358-0109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12493 University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258286",
            "country_code": "US",
            "telephone_number": "515-358-0150",
            "fax_number": "515-358-0149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12493 University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258286",
            "country_code": "US",
            "telephone_number": "515-358-0150",
            "fax_number": "515-358-0149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101016420",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "3976",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "DO-03976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH  ALLIANCE",
            "identifier": "164196",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "500301",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Patten
• Tara Patterson, PA-C
• David B Paul, PSYD
• Hannah Marie Pearcy
• Elizabeth Rachel Pedersen, PHARMD.
• Ashly Pencil, MSN, ARNP, FNP-C
• Douglas Pepper
• Adreanne Perkins, MSN, ARNP, PMHNP-BC
• Peter Cade Counseling, PC
• Chad Allen Peters

• Physical Medicine & Rehabilitation Physician in Clive, IA
• Providers in Clive, IA by specialty
• Physical Medicine & Rehabilitation Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.