1. Home
  2. Directory
  3. Colorado
  4. Denver
  5. Internal Medicine
  6. NPI Profile

DUANE WILLIAM PEARSON M.D.
NPI 1528083631
Internal Medicine - Rheumatology in Denver, CO

Active since July 12, 2006Opted out of Medicare · through Oct 11, 2027
97.58/100
CMS Quality Rating
3200 E CHERRY CREEK SOUTH DR STE 430, DENVER, CO 80209(303) 468-9050(303) 468-9053 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Jun 21, 2019 (2 updates tracked since 2019).

About Duane William Pearson M.d. NPPES

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

DUANE WILLIAM PEARSON M.D. (NPI 1528083631) is an individual rheumatology provider in Denver, Colorado, licensed in Colorado (40304) and active in the NPI registry since July 2006. He has opted out of Medicare through October 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1528083631
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDUANE WILLIAM PEARSONCredential: M.D.
Location Address3200 E CHERRY CREEK SOUTH DR STE 430Denver, CO 80209-3246
Mailing Address3200 E Cherry Creek South Dr Ste 430Denver, CO 80209-3246 · (303) 468-9050 · Fax (303) 468-9053
Phone(303) 468-9050
Fax(303) 468-9053
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1528083631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CO · 40304
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3200 E CHERRY CREEK SOUTH DR STE 430, Denver, CO 80209
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Duane William Pearson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 11, 2023 through October 11, 2027.

Opt-Out Effective DateOctober 11, 2023
Opt-Out In Effect ThroughOctober 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80209 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Duane Pearson's NPI number?

The NPI number for Duane Pearson is 1528083631. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Duane Pearson located?

Duane Pearson practices at 3200 E Cherry Creek South Dr Ste 430, Denver, CO 80209. The listed phone number is (303) 468-9050.

What is Duane Pearson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Duane Pearson enrolled in Medicare?

No. Duane Pearson has opted out of Medicare through October 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Duane Pearson accept?

Health plans from UnitedHealthcare list Duane Pearson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Duane Pearson was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.