EXCLUDEDPROVIDER
Individual Revocation

Brian Charles Pedersen

Chappaqua, NY 10514

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Brian Charles Pedersen of Chappaqua, NY is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 18, 1997.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Chappaqua, NY 10514
Exclusion date
December 18, 1997
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Brian Charles Pedersen appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Chappaqua, New York. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is December 18, 1997, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateDecember 18, 1997
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPINA62551
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Chappaqua, NY 10514. The listed provider category is Medical Practice, MD. The listed specialty is General Practice / FP.

Other excluded providers in Chappaqua, NY

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Chappaqua, NY address.

Martin Halperin Individual Program Crime
Chappaqua, NY · Conviction of program-related crimes · Excluded Feb 1984

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in New York More Records in Chappaqua More Revocation Records