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MATTHEW D PEARSON MD
NPI 1669694295
Urology in Holladay, UT

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4252 S HIGHLAND DR STE 207, HOLLADAY, UT 84124(801) 993-1800 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Feb 11, 2022 (2 updates tracked since 2022).

About Matthew D Pearson Md NPPES

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

MATTHEW D PEARSON MD (NPI 1669694295) is an individual urology provider in Holladay, Utah, licensed in Utah (13794147-1205) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1669694295
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMATTHEW D PEARSONCredential: MD
Location Address4252 S HIGHLAND DR STE 207Holladay, UT 84124-2670
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Phone(801) 993-1800
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006
Enumeration DateMay 3, 2007
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1669694295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in UT · 13794147-1205✔ Licensed in TX · P0271
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4252 S HIGHLAND DR STE 207, Holladay, UT 84124
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Secondary Practice Location 1

Location 112221 N Mopac ExpyAustin, TX 78758-2401 · Phone (512) 901-4021 · Fax (512) 901-3921

Other Identifiers 2

OtherP01194100TX · Rrmc Ptan
Medicaid285832601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Molina Healthcare 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

Matthew D 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 ID5193999837
PECOS Enrollment IDI20240703000619
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 7

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 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.
182 services146 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
140 services124 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
100 services85 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
30 services30 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.
22 services22 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.
21 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

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.
90%954 patients4/55-star benchmark: 100%
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.
83%403 patients3/55-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.
96%1,042 patients4/55-star benchmark: 99%
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…
66%1,042 patients3/55-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…
22%1,042 patients2/55-star benchmark: 59%
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 4

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims1,680 services$0.06 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers86 claims16,710 services$1.66 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
7 suppliers160 claims24,210 services$6.13 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
3 suppliers18 claims104 services$1.53 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 Matthew Pearson's NPI number?

The NPI number for Matthew Pearson is 1669694295. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Matthew Pearson located?

Matthew Pearson practices at 4252 S Highland Dr Ste 207, Holladay, UT 84124. The listed phone number is (801) 993-1800.

What is Matthew Pearson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Matthew Pearson enrolled in Medicare?

Yes. Matthew 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 Matthew Pearson accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Matthew 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 Matthew Pearson affiliated with any hospitals?

According to CMS data, Matthew Pearson is affiliated with Lds Hospital, Intermountain Medical Center, Intermountain Health Alta View Hospital, St Mark's Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Pearson was last updated on June 18, 2024. 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.