Active NPI
Frederick Norman Pearson Sr., M.D.
- Dermatology Physician
- Ellicott City, MD
National Provider Identifier
1710965660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D02554
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1279 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.