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ERICH SMITH PEARSON M.D.
NPI 1629380753
Internal Medicine in Ellijay, GA

Active since July 06, 2010PECOS EnrolledAccepts Medicare Assignment
86.78/100
CMS Quality Rating
822 INDUSTRIAL BLVD, ELLIJAY, GA 30540(706) 276-4741(706) 276-4645 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erich Smith Pearson M.d. NPPES

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

ERICH SMITH PEARSON M.D. (NPI 1629380753) is an individual internal medicine provider in Ellijay, Georgia, licensed in Georgia (72078) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629380753
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameERICH SMITH PEARSONCredential: M.D.
Location Address822 INDUSTRIAL BLVDEllijay, GA 30540-3804
Mailing Address822 Industrial Blvd, P.o. Box 1019Ellijay, GA 30540-3804 · (706) 276-4741 · Fax (706) 276-4645
Phone(706) 276-4741
Fax(706) 276-4645
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 6, 2010
Last NPPES UpdateDecember 8, 2014
✔ NPI 1629380753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 72078
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
822 INDUSTRIAL BLVD, Ellijay, GA 30540
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Other Identifiers 6

Other1952395097GA · Medicare Part B Npi Number
Other58-1896463GA · North Georgia Medical Center Federal Tax Id
Other118518GA · Apple Medical Center Rural Health Medicare Provider Number
Other1407062862GA · Apple Medical Center Group Npi Number
Other993428330AGA · Medicaid Rural Health Care Provider Number
OtherHOSP34GA · Medicare Part B Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Erich Smith Pearson 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 ID9830371848
PECOS Enrollment IDI20140924002492
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
452 services184 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
190 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
126 services126 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
93 services93 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services29 patients

Hospital Affiliations CMS Care Compare

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

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30540 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

86.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost76.61

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%454 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
10%125 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%7,896 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
50%984 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%145 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%717 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%720 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%717 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
43%717 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
39%717 patients
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers73 claims73 services$20.10 avg. paid by Medicare
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
6 suppliers88 claims88 services$107.96 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 4

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

DR. MIRIAM F GENTRY M.D.
Internal Medicine
822 INDUSTRIAL BLVD
ELLIJAY, GA 30540
Gilmer County (706) 698-7400
SOUTHERN HEALTH CORP OF ELLIJAY
Clinic/Center (Rural Health)
822 INDUSTRIAL BLVD
ELLIJAY, GA 30540
Gilmer County (706) 635-5177
JAMES CHRISTOPHER CRAIG MD
Family Medicine
822 INDUSTRIAL BLVD
ELLIJAY, GA 30540
Gilmer County (706) 698-4362
DR. ROBERT STEPHEN FELDMAN MD
Psychiatry & Neurology (Neurology)
822 INDUSTRIAL BLVD, SUITE B
ELLIJAY, GA 30540
Gilmer County (706) 635-5111

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 Erich Pearson's NPI number?

The NPI number for Erich Pearson is 1629380753. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Where is Erich Pearson located?

Erich Pearson practices at 822 Industrial Blvd, Ellijay, GA 30540. The listed phone number is (706) 276-4741.

What is Erich Pearson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Erich Pearson enrolled in Medicare?

Yes. Erich 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 Erich Pearson accept?

Health plans from Oscar Insurance Company list Erich 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 Erich Pearson affiliated with any hospitals?

According to CMS data, Erich Pearson is affiliated with Southeast Georgia Health System- Brunswick Campus.

When was this NPI record last updated?

The NPPES record for Erich Pearson was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.