DR. GARY PEARSON (MD) – Family Medicine Physician, NPI 1164408670

DR. GARY PEARSON (MD) is a healthcare provider. based in Fort lupton, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 31291 (CO). The NPI Number for DR. GARY PEARSON (MD) is 1164408670

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY PEARSON (MD)
NPI
1164408670
Phone
(303) 286-4560
Address
203 S ROLLIE AVE
Enumeration Date
16 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9706193663
Graduation Year
1990 (36 years ago)
PAC ID
0143117234
Group Practice PAC ID
4789807165
Professional Enrollment ID
I20110830000307
Address ID
CO805342800JO4401XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,197 EMERGENCY MEDICINE in CO

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Provider Addresses for DR. GARY PEARSON (MD)

  • 203, Rollie Avenue, Fort Lupton, Weld County, Colorado, 80621, United States

    FORT LUPTON, CO 806211508

    Phone: (303) 286-4560

    Fax: (303) 286-4589

    Type: Mailing

  • Salud Clinic, 220, East Rogers Road, Longmont, Boulder County, Colorado, 80501, United States

    LONGMONT, CO 805016027

    Phone: (303) 776-3250

    Fax: (303) 682-9269

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110830000307IEmergency MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes69964$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes29334$0
99239Hospital discharge day management, more than 30 minutes3434$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 80621)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789807165View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseGA
-NV
Nurse PractitionerUT
Internal MedicineID
Internal MedicineOR
Family PracticeID
Family PracticeUT
-UT
Internal MedicineUT
Internal MedicineUT

Reviews

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Frequently asked questions

What number should I use to identify DR. GARY PEARSON (MD) for billing?
Administrative and clinical systems typically use NPI 1164408670 for DR. GARY PEARSON (MD).
Does the public listing show DR. GARY PEARSON (MD) as active?
DR. GARY PEARSON (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. GARY PEARSON (MD)'s specialty?
The extract shows Family Medicine Physician for DR. GARY PEARSON (MD). Clinical services aligned with this taxonomy classification.
Is DR. GARY PEARSON (MD) tied to Fort Lupton, Colorado?
If you are local to Fort Lupton, Colorado, DR. GARY PEARSON (MD) may be relevant to your search.
Why is information missing for DR. GARY PEARSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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