KATHERINE PEDERSON D.O. – NPI #1902218852
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KATHERINE PEDERSON is a physician located in MANSFIELD, TX. NPPES has assigned the NPI number 1902218852 to KATHERINE PEDERSON on May 27, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Jan 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATHERINE PEDERSON below.

NPI Profile for
KATHERINE PEDERSON

NPI Number
1902218852
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHERINE PEDERSON
Credentials
D.O.
Primary location
1757 BROAD PARK CIR N STE 201
MANSFIELD, TX 76063-7839
Phone: (817) 806-1130 Fax: (817) 806-1133
Mailing address
PO BOX 6278
FORT WORTH, TX 76115-0278
Phone: (817) 568-5467 Fax: (817) 568-5474
Sole Proprietor
No
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
TX Q7593

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 2014
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KATHERINE PEDERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • METHODIST MANSFIELD MEDICAL CENTER
      2700 E BROAD STREET
      MANSFIELD, TX 76063
    • METHODIST MIDLOTHIAN MEDICAL CENTER
      1201 E HIGHWAY 287
      MIDLOTHIAN, TX 76065

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.