Dean C. Pedersen, M.D.
Family Medicine Physician · Fort Drum, NY
Dean C. Pedersen, M.D. is a family medicine physician with a practice address in Fort Drum, New York, and NPI 1760471015, issued on Oct 19, 2005. Check the license on the NYS Education Department, Office of the Professions; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Dean C. Pedersen
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 19547 NE
Self-reported in NPPES; status is on the state search - Practice location
- 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
- Phone
- (315) 772-4025
- Enumerated
- Oct 19, 2005
- Record last updated
- Jul 13, 2026
- Fax
- (315) 772-9498
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 6,417 in New York → Look up another NPI →
Also registered at 11050 Mount Belvedere Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Randall Bischoff, RPA-CPhysician Assistant1760471932
Verify Dean C. Pedersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the ProfessionsCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Dean C. Pedersen among 6,417 family medicine physician records in New York
Dean C. Pedersen, M.D. is one of 6,417 family medicine physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 91% newer
- In a Medicare fileNo · 81% of these records are
- In the CMS Doctors and Clinicians fileNo · 65% of these records are
- Record last updated2026 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
23 family medicine physician records list a practice address in Fort Drum
They are 23 of the 471 NPPES records with a practice address in Fort Drum, and 6,417 family medicine physician records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,417 in New York → Every provider in Fort Drum → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- S. Folley Dunna, M.D.Fort Drum, NY 136021861473118
- Elizabeth Duque, M.D.Fort Drum, NY 136021023115664
- Richard Haney, DOFort Drum, NY 136021447665732
- Sabrina Kunciw, M.D.Fort Drum, NY 136021245611854
- Christian Meko, MDFort Drum, NY 136021952370751
- Colette RajnerFort Drum, NY 136021144411596
- Neel Shah, MDFort Drum, NY 136021336281823
- Svetlana Shah, MDFort Drum, NY 136021477696193
Common questions
What is Dean C. Pedersen, M.D.'s NPI number?
Dean C. Pedersen, M.D.'s National Provider Identifier (NPI) is 1760471015, issued on Oct 19, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Dean C. Pedersen, M.D. located?
The NPPES record lists a practice address at 11050 Mount Belvedere Blvd, Fort Drum, NY, 13602. Phone: (315) 772-4025. Providers update this record themselves, so call before visiting.
How can I verify Dean C. Pedersen, M.D.'s license?
Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.