Individual provider Active NPI

Timothy Pearson, M.D.

  • Dermatology Physician
  • Pinehurst, NC
National Provider Identifier
1972845121
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0082862 Issued in MD
Practice address
5 Regional Cir
Pinehurst, NC 28374-9863
Phone
(910) 295-5567
Fax
(910) 295-3315
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 D0082862 MD Primary

Addresses

Primary practice location

5 Regional Cir
Pinehurst, NC 28374-9863

Mailing address

5 Regional Cir
Pinehurst, NC 28374-9863
Phone (910) 295-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210726003262 NC Practitioner - Dermatology 8921379744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

120 Braemar Rd
Pinehurst, NC 28374-7207
Phone 33672424349998

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision184
Removal of skin lesions2472
Removal or shaving of skin growth14
Skin biopsy810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0082862MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA CurrentSince Jul 1, 2021 Accepting new patients
Skin Surgery Center PA Dermatology CurrentSince Jul 1, 2021 Accepting new patients

Locations

5 Regional Cir
Ste B
Pinehurst, NC 28374
Phone (910) 215-0873

5 Regional Cir
Pinehurst, NC 28374
Phone (828) 322-7546

120 Braemar Ct
Pinehurst, NC 28374
Phone (910) 295-5567

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434

Interoperability endpoints

  • Direct secure messaging: tpearson@directaddress.net

Organizations & group practices 2

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 9

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1972845121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749863",
            "telephone_number": "910-295-5567",
            "fax_number": "910-295-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749863",
            "telephone_number": "910-295-5567",
            "fax_number": "910-295-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0082862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.