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DR. DANIEL JOHN PEARSON M.D.
NPI 1962708552
Internal Medicine - Pulmonary Disease in Dayton, OH

Active since January 31, 2011PECOS Enrolled
84.5/100
CMS Quality Rating
4881 SUGAR MAPLE DR, DAYTON, OH 45433(937) 522-4281 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Jan 5, 2021, Dec 19, 2019 and 6 more (9 updates tracked since 2017).

About Dr. Daniel John Pearson M.d. NPPES

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

DR. DANIEL JOHN PEARSON M.D. (NPI 1962708552) is an individual pulmonary disease provider in Dayton, Ohio, licensed in Ohio (35-129849) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beavercreek.

NPPES Registry Identity

NPI1962708552
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DANIEL JOHN PEARSONCredential: M.D.
Location Address4881 SUGAR MAPLE DRDayton, OH 45433-5529
Mailing Address3535 Pentagon BlvdBeavercreek, OH 45431-1705
Phone(937) 522-4281
Sole ProprietorNo
Enumeration DateJanuary 31, 2011
Last NPPES UpdateMarch 27, 20239 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1962708552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in OH · 35-129849✔ Licensed in NE · 26994✔ Licensed in KY · 50448
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 26994 (NE)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35-129849 (OH), 26994 (NE)
4881 SUGAR MAPLE DR, Dayton, OH 45433
Open in Google Maps ↗

Secondary Practice Location 1

Location 13535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4450 · Fax (937) 702-4459

Other Identifiers 1

Medicaid0219982OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel John Pearson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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.

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.
111 services53 patients
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.
88 services53 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.
64 services54 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
60 services33 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.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 20

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

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Daniel Pearson's NPI number?

The NPI number for Daniel Pearson is 1962708552. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Where is Daniel Pearson located?

Daniel Pearson practices at 4881 Sugar Maple Dr, Dayton, OH 45433. The listed phone number is (937) 522-4281.

What is Daniel Pearson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Daniel Pearson enrolled in Medicare?

Yes. Daniel Pearson is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Pearson accept?

Health plans from CareSource and Molina Healthcare list Daniel 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 Daniel Pearson was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.