DR. CARMELITA M PEARSON M.D.
NPI 1114272242
Pediatrics in Plano, TX
NPI Status: Active since July 15, 2012
Contact Information
7601 PRESTON RD
PLANO, TX
ZIP 75024
Phone: (214) 456-9250
Fax: (214) 456-1240
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About CARMELITA PEARSON
This page provides the complete NPI Profile along with additional information for Carmelita Pearson, a pediatrician established in Plano, Texas with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1114272242 assigned on July 2012. The practitioner's primary taxonomy code is 208000000X with license number P9973 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1114272242
- Provider Name
- DR. CARMELITA M PEARSON M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7601 PRESTON RD PLANO, TX 75024
- Location Phone
- (214) 456-9250
- Location Fax
- (214) 456-1240
- Mailing Address
- 7601 PRESTON RD PLANO, TX 75024
- Mailing Phone
- (214) 456-9250
- Mailing Fax
- (214) 456-1240
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-15-2012
- Last Update Date
- 01-04-2022
- Code Navigator
A pediatrician like Carmelita Pearson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- P9973
- License State
- TX
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | P9973 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- UHC Kelsey-Seybold Bronze Copay Focus - HMO
- UHC Kelsey-Seybold Gold Copay Focus ($5 Tier 2 Rx) - HMO
- UHC Kelsey-Seybold Silver Copay Focus - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P9973 | OTHER (01) | TX | TEXAS MEDICAL BOARD |
Medicare Participation & PECOS Enrollment Status
Carmelita Pearson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75024 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. CARMELITA M PEARSON M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 7 | 2 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 7 | 4 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 7 + 4 + 2 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1114272242 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LINDSEY DICKERSON AMOS MD
Pediatrics
7601 PRESTON RD
MAIL STOP: DPMSC
PLANO, TX
ZIP 75024
DR. MICHAEL BRADFORD TATE M.D.
Pediatrics
7601 PRESTON RD
PLANO, TX
ZIP 75024
COLLIN EMERGENCY MEDICINE ASSOCIATES PA
Emergency Medicine
7601 PRESTON RD
PLANO, TX
ZIP 75024
BRENNAN LEWIS RN, CPNP
Nurse Practitioner
(Pediatrics)
7601 PRESTON RD
PLANO, TX
ZIP 75024
MS. GISELLE VIRGINIA ESCALONA MS, CPNP
Nurse Practitioner
(Pediatrics)
7601 PRESTON RD
PLANO, TX
ZIP 75024
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Internal Medicine
7601 PRESTON RD
SUITE P3600
PLANO, TX
ZIP 75024
STACY POTEET PNP
Nurse Practitioner
(Pediatrics)
7601 PRESTON RD
PLANO, TX
ZIP 75024
MRS. CINDY KIM JANG PA-C
Physician Assistant
7601 PRESTON RD
PLANO, TX
ZIP 75024
KIMBERLY ANNE CAOLO LPC, ATR
Counselor
(Professional)
7601 PRESTON RD
PLANO, TX
ZIP 75024
MRS. SHANNON KNOWLTON MS, RD, LD
Dietitian, Registered
7601 PRESTON RD
PLANO, TX
ZIP 75024
JAMIE WIGHTMAN
Specialist/Technologist
(Athletic Trainer)
7601 PRESTON RD
AMBULATORY CARE PAVILLION, P3600
PLANO, TX
ZIP 75024
MRS. GINA GABRIELLA QUON MPAS, PA-C
Physician Assistant
7601 PRESTON RD
PLANO, TX
ZIP 75024
MRS. KATHERINE ANNE HAYES-HAMMOND CPNP-AC
Nurse Practitioner
(Pediatrics, Critical Care)
7601 PRESTON RD
PLANO, TX
ZIP 75024
ANDREA WAHLBERG PH.D.
Clinical Neuropsychologist
7601 PRESTON RD
SUITE P4300
PLANO, TX
ZIP 75024
CHRISTINE ELLIS CPNP
Nurse Practitioner
(Pediatrics)
7601 PRESTON RD
PLANO, TX
ZIP 75024
MEREDITH ULON LCSW
Social Worker
(Clinical)
7601 PRESTON RD
PLANO, TX
ZIP 75024
DR. JENNIFER KIESCHNICK PT, DPT
Physical Therapist
(Orthopedic)
7601 PRESTON RD
PLANO, TX
ZIP 75024
MOHSIN KHAN
Psychiatry & Neurology
(Psychiatry)
7601 PRESTON RD
PLANO, TX
ZIP 75024
DR. JASMINE GHANNADPOUR PHD
Psychologist
(Clinical Child & Adolescent)
7601 PRESTON RD
PLANO, TX
ZIP 75024
MRS. MEHREEN NOORDIN CPNP-AC
Nurse Practitioner
(Pediatrics)
7601 PRESTON RD
PLANO, TX
ZIP 75024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114272242, enumerated as an "individual" on July 15, 2012.
The provider is located at 7601 PRESTON RD PLANO, TX 75024 and the phone number is (214) 456-9250.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Molina. Please consult your insurance carrier or call the provider to verify.
