RICHARD P PEARLSTEIN M.D.
NPI 1134214851
Otolaryngology in Phoenix, AZ

Q: What is Richard Pearlstein's NPI number?

The NPI number for Richard Pearlstein is 1134214851. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Richard Pearlstein's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment

78.82/100

CMS Quality Rating

1010 E MCDOWELL RD STE 200, PHOENIX, AZ 85006(602) 956-1250(602) 956-7466 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Mar 3, 2022, Jan 7, 2022 and 2 more (5 updates tracked since 2016).

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About Richard P Pearlstein M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD P PEARLSTEIN M.D. (NPI 1134214851) is an individual otolaryngology provider in Phoenix, Arizona, licensed in Arizona (57919) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Cincinnati College Of Medicine And Surgery (1992).

NPPES Registry Identity

NPI1134214851

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameRICHARD P PEARLSTEINCredential: M.D.

Location Address1010 E MCDOWELL RD STE 200Phoenix, AZ 85006-2608

Mailing Address1010 E Mcdowell Rd Ste 206Phoenix, AZ 85006-2608 · (602) 956-1250 · Fax (602) 956-7466

Phone(602) 956-1250

Fax(602) 956-7466

Sole ProprietorNo

Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 1992

Enumeration DateOctober 4, 2006

Last NPPES UpdateMarch 20, 20265 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1134214851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in AZ · 57919✔ Licensed in OH · 35.065682

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1010 E MCDOWELL RD STE 200, Phoenix, AZ 85006

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Other Identifiers 12

Other341112079028Caresource

Other040012377Medicare Railroad

Other1546564Gateway

Other000000127502OH · Anthem

Other3270308001OH · Cigna

OtherZ65682Summacare

Other000000127502Unicare

Medicaid588765AZ

Other112089Unison

Medicaid2049161OH

Other099857Select Blue

Other10-00511OH · Uhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard P Pearlstein M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527961226

PECOS Enrollment IDI20200129001182

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

130 services93 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

110 services92 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

92 services92 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

74 services63 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

73 services69 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.65

Improvement Activities

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANO FLORES HIS

Hearing Instrument Specialist