DR. RICHARD G PEARCE M.D.
NPI 1619942091
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Chattanooga, TN

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1736 GUNBARREL RD, CHATTANOOGA, TN 37421(423) 756-6623(423) 648-8084 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Richard G Pearce M.d. NPPES

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

DR. RICHARD G PEARCE M.D. (NPI 1619942091) is an individual orthopaedic surgery of the spine provider in Chattanooga, Tennessee, licensed in Tennessee (15829) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Parkridge Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1984).

NPPES Registry Identity

NPI1619942091
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. RICHARD G PEARCECredential: M.D.
Location Address1736 GUNBARREL RDChattanooga, TN 37421-3127
Mailing Address1736 Gunbarrel RdChattanooga, TN 37421-3127 · (423) 756-6623 · Fax (423) 648-8084
Fax(423) 648-8084
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1984
Enumeration DateFebruary 21, 2006
Last NPPES UpdateFebruary 10, 2022
✔ NPI 1619942091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TN · 15829
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1736 GUNBARREL RD, Chattanooga, TN 37421

Other Identifiers 1

Medicaid3057882TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard G Pearce 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 ID7012096829
PECOS Enrollment IDI20080506000095
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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Pearce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2205 MCCALLIE AVE
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
280 services162 patients
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.
190 services152 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.
169 services131 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
105 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services68 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
61 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%57 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%308 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers14 claims14 services$44.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1736 GUNBARREL RD
CHATTANOOGA, TN 37421
Nurse Practitioner (Family)
1736 GUNBARREL RD
CHATTANOOGA, TN 37421
Physical Medicine & Rehabilitation
1736 GUNBARREL RD
CHATTANOOGA, TN 37421
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1736 GUNBARREL RD
CHATTANOOGA, TN 37421
Physician Assistant
1736 GUNBARREL RD
CHATTANOOGA, TN 37421
Physical Therapist
1736 GUNBARREL RD, SUITE B
CHATTANOOGA, TN 37421
Nurse Practitioner
1736 GUNBARREL RD
CHATTANOOGA, TN 37421
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1736 GUNBARREL RD
CHATTANOOGA, TN 37421

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 Richard Pearce's NPI number?

The NPI number for Richard Pearce is 1619942091. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Richard Pearce located?

Richard Pearce practices at 1736 Gunbarrel Rd, Chattanooga, TN 37421. The listed phone number is (423) 756-6623.

What is Richard Pearce's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Richard Pearce enrolled in Medicare?

Yes. Richard Pearce 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.

Which organization bills Medicare for Richard Pearce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Pearce reassigns Medicare benefits to Chattanooga Diagnostic Associates LLC (Chattanooga, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Pearce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Pearce accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter of Alabama and 3 other insurers list Richard Pearce 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 Richard Pearce affiliated with any hospitals?

According to CMS data, Richard Pearce is affiliated with Parkridge Medical Center and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Richard Pearce was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.