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Dr. Michelle H Pedersen

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NPI Number Detailed Information

Provider Information:

Name: Dr. Michelle H Pedersen
Gender: F
Provider License Number If Given: 2750

NPI Information:

NPI: 1912990425
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/30/2005

Last Update Date: 10/3/2021

Reputation Report:

Provider Business Mailing Address:

Address: 1950 OLD GALLOWS RD STE 520
Vienna, VA 22182
Phone Number: 7038478899
Fax Number:

Provider Business Practice Location Address:

Address: 120 MARTIN DRIVE
Fredonia, WI 53021
Phone Number: 2626929000
Fax Number:

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: WI

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About Dr. Michelle H Pedersen

Dr. Michelle H Pedersen (DR. MICHELLE H PEDERSEN ) is Doctors Optometrist Physician in Fredonia, WI. The NPI Number for Dr. Michelle H Pedersen is 1912990425.
The current location address for Dr. Michelle H Pedersen is 120 MARTIN DRIVE Fredonia, WI 53021 and the contact number is 7038478899 and fax number is . The mailing address for Dr. Michelle H Pedersen is 1950 OLD GALLOWS RD STE 520 Vienna, VA 22182- 2626929000 (mailing address contact number - 7038478899).
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Michelle H Pedersen ?


Answer: The NPI Number for Dr. Michelle H Pedersen is 1912990425

Where is Dr. Michelle H Pedersen located?


Answer: Dr. Michelle H Pedersen is located at 120 MARTIN DRIVE Fredonia, WI 53021.

What is the specialty for Dr. Michelle H Pedersen ?


Answer: The Specialty of Dr. Michelle H Pedersen is Doctors Optometrist Physician.

Are there any online reviews for Dr. Michelle H Pedersen ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fredonia, WI?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Michelle H Pedersen

Number of HCPCS 22
Number of Medicare Beneficiaries 450
Number of Services 795
Total Submitted Charge Amount 155418
Total Medicare Allowed Amount 73878.01
Total Medicare Payment Amount 45573.64
Total Medicare Standardized Payment Amount 47660.05
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 22
Number of Medicare Beneficiaries With Medical 450
Number of Medical Services 795
Total Medical Submitted Charge Amount 155418
Total Medical Medicare Allowed Amount 73878.01
Total Medical Medicare Payment Amount 45573.64
Total Medical Medicare Standardized Payment Amount 47660.05
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 18
Number of Beneficiaries Age 65 to 74 203
Number of Beneficiaries Age 75 to 84 144
Number of Beneficiaries Age Greater 84 85
Number of Female Beneficiaries 289
Number of Male Beneficiaries 161
Number of Non-Hispanic White Beneficiaries 381
Number of Black or African American Beneficiaries 31
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 25
Number of Beneficiaries With Medicare & Medicaid Entitlement 76
Number of Beneficiaries With Medicare Only Entitlement 374
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.11
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.22
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.05
Percent (%) of Beneficiaries Identified With Depression 0.21
Percent (%) of Beneficiaries Identified With Diabetes 0.18
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.48
Percent (%) of Beneficiaries Identified With Hypertension 0.53
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.27
Percent (%) of Beneficiaries Identified With Osteoporosis 0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.03
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 1.008

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Optometry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 567
Number of Standardized 30-Day Fills 915.06666667
Aggregate Cost Paid for All Claims 67380.47
Number of Day's Supply for All Claims 23422
Number of Medicare Beneficiaries 213
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 242
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 325
Aggregate Cost Paid for Generic Drugs 9935.71
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 324
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 43239.63
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 243
Aggregate Cost Paid for Claims Filled by 24140.84
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 133
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 9251.47
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 434
by Low-Income Subsidy 58129
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 76.511737089
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 154
Number of Male Beneficiaries 59
Number of Non-Hispanic White 151
Number of Black or African American 46
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 180
Average Hierarchical Condition Category 1.2277168025

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