Individual provider Active NPI

Frederick Norman Pearson Sr., M.D.

  • Dermatology Physician
  • Ellicott City, MD
National Provider Identifier
1710965660
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D02554 Issued in MD
Practice address
9055 Chevrolet Dr
Suite 204
Ellicott City, MD 21042-4016
Phone
(410) 465-1515
Fax
(410) 465-1839
NPI assigned
Jan 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D02554 MD Primary

Addresses

Primary practice location

9055 Chevrolet Dr
Suite 204
Ellicott City, MD 21042-4016

Mailing address

9055 Chevrolet Dr
Suite 204
Ellicott City, MD 21042-4016
Phone (410) 465-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090925000061 MD Practitioner - Dermatology 4880740398 Practice locations: Ellicott City, MD

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 1969
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9055 Chevrolet Dr
Ellicott City, MD 21042-4000
Phone (410) 465-1515

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1279
Removal or shaving of skin growth1-10
Skin biopsy62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1710965660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 CHEVROLET DR",
            "address_2": "SUITE 204",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424016",
            "telephone_number": "410-465-1515",
            "fax_number": "410-465-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 CHEVROLET DR",
            "address_2": "SUITE 204",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424016",
            "telephone_number": "410-465-1515",
            "fax_number": "410-465-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "FREDERICK",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-01",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D02554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.