THOMAS C PEARSON MD
NPI 1619927605
Surgery in Atlanta, GA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
101 WOODRUFF CIRCLE, STE 5105 WMB, ATLANTA, GA 30322(404) 727-8464(404) 727-3660 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas C Pearson Md NPPES

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

THOMAS C PEARSON MD (NPI 1619927605) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (26011) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Emory University School Of Medicine (1982).

NPPES Registry Identity

NPI1619927605
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS C PEARSONCredential: MD
Location Address101 WOODRUFF CIRCLE, STE 5105 WMBAtlanta, GA 30322
Mailing Address101 Woodruff Circle, Ste 5105 WmbAtlanta, GA 30322 · (404) 727-8464 · Fax (404) 727-3660
Fax(404) 727-3660
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1982
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 5, 2019
NPI 1619927605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 26011
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedTransplant SurgeryTaxonomy 204F00000X · License 026011 (GA)
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License 026011 (GA)
101 WOODRUFF CIRCLE, Atlanta, GA 30322

Accepted 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

Thomas C Pearson Md 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 ID244428134
PECOS Enrollment IDI20101220000150
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 4

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, 30-39 minutes 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.
39 services34 patients
New patient office or other outpatient visit, 45-59 minutes 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.
30 services30 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
20 services18 patients
New patient office or other outpatient visit, 45-59 minutes 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Transplant Surgery
101 WOODRUFF CIRCLE, ROOM 5105 WMB
ATLANTA, GA 30322
Pathology (Clinical Pathology/Laboratory Medicine)
101 WOODRUFF CIRCLE, SUITE 7301
ATLANTA, GA 30322
Pathology (Anatomic Pathology & Clinical Pathology)
101 WOODRUFF CIRCLE, WMB BLDG., RM. 7117
ATLANTA, GA 30322
Surgery
101 WOODRUFF CIRCLE, WMB RM 5105
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
101 WOODRUFF CIRCLE, SUITE WMB-5105
ATLANTA, GA 30322
Pathology (Blood Banking & Transfusion Medicine)
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BLDG., ROOM 7313
ATLANTA, GA 30322
Internal Medicine (Infectious Disease)
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BUILDING, SUITE 2101
ATLANTA, GA 30322
Genetic Counselor, MS
101 WOODRUFF CIRCLE
ATLANTA, GA 30322

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 Thomas Pearson's NPI number?

The NPI number for Thomas Pearson is 1619927605. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Thomas Pearson located?

Thomas Pearson practices at 101 Woodruff Circle Ste 5105 Wmb, Atlanta, GA 30322. The listed phone number is (404) 727-8464.

What is Thomas Pearson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Pearson enrolled in Medicare?

Yes. Thomas Pearson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Pearson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thomas 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.

Is Thomas Pearson affiliated with any hospitals?

According to CMS data, Thomas Pearson is affiliated with Emory University Hospital and Candler Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Pearson was last updated on July 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.