Individual provider Active NPI

Jeffrey Pearson, M.D.

  • Orthopaedic Surgery Physician
  • Shreveport, LA
National Provider Identifier
1710364948
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
325722 Issued in LA
Practice address
1500 Line Ave
Shreveport, LA 71101-4639
Phone
(318) 629-5001
Fax
(318) 629-5020
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 325722 LA
Orthopaedic Surgery Physician 207X00000X 325722 LA Primary

Addresses

Primary practice location

1500 Line Ave
Shreveport, LA 71101-4639

Mailing address

1534 Elizabeth Ave
Ste 301
Shreveport, LA 71101-4531
Phone (318) 629-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20210621002982 LA Practitioner - Orthopedic Surgery 6608188776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Musculoskeletal Institute of Louisiana LLCGroup PAC ID 0143127415, 28 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1500 Line Ave
Suite 100
Shreveport, LA 71101-4644
Phone (318) 635-3052

301 W Fertitta Blvd
Leesville, LA 71446-4665
Phone (337) 238-9931

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • Elara Caring Home health agency, Mansfield, LA, CCN 197161
  • Specialists Hospital Shreveport Hospital, Shreveport, LA, CCN 190278
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Winn Parish Medical Center Hospital, Winnfield, LA, CCN 190090

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as group
Quality
87.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement62
Knee replacement65
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
325722LAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musculoskeletal Institute of Louisiana, LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Musculoskeletal Institute of Louisiana, L.L.C. Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850

1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754

1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052

1534 Elizabeth Ave
Ste 301
Shreveport, LA 71101
Phone (318) 629-5002

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jeffrey.pearsonmd.p1@direct.msil.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1710364948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 ELIZABETH AVE",
            "address_2": "STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014531",
            "telephone_number": "318-629-5002",
            "fax_number": "318-629-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014639",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "LA",
            "license": "325722",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "325722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.