RONALD BRADBURN VINCENT JR. PEARSON (M.D.) – Surgery Physician, NPI 1063466803

RONALD BRADBURN VINCENT JR. PEARSON (M.D.) is a healthcare provider. based in Blue ridge, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 110203 (GA). The NPI Number for RONALD BRADBURN VINCENT JR. PEARSON (M.D.) is 1063466803

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
RONALD BRADBURN VINCENT JR. PEARSON (M.D.)
NPI
1063466803
Phone
(706) 632-4217
Address
2855 Old Highway 5
Enumeration Date
19 May 2006
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062584656
Graduation Year
1995 (31 years ago)
PAC ID
4789695826
Group Practice PAC ID
5799768248
Professional Enrollment ID
I20251210003479
Address ID
GA305136239BL2855X5XXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for RONALD BRADBURN VINCENT JR. PEARSON (M.D.)

  • 2855 Old Highway 5

    Blue Ridge, GA 305136248

    Phone: (706) 632-4217

    Fax: (706) 632-4244

    Type: Location

  • HC 71 BOX 119D

    ELLAMORE, WV 262679501

    Phone: (304) 473-0303

    Type: Mailing

  • 2855 OLD HIGHWAY 5 STE 108

    BLUE RIDGE, GA 305136239

    Phone: (706) 632-4217

    Fax: (706) 632-4244

    Type: Mailing

  • Braxton County Memorial Hospital, 100, Hoylman Drive, Bison, Gassaway, Braxton County, West Virginia, 26624, United States

    GASSAWAY, WV 266249321

    Phone: (304) 364-1153

    Fax: (304) 364-1154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060605000262IGeneral SurgeryWVTBD
I20251210003479IGeneral SurgeryGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes18195$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11945$0
99212Established patient office or other outpatient visit, 10-19 minutes9576$0
99214Established patient office or other outpatient visit, 30-39 minutes9468$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes6254$0
View full utilization report →

Insurance plans in this area (ZIP 30513)

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Provider's Procedures

RONALD BRADBURN VINCENT JR. PEARSON (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYWV45378Diagnostic examination of large bowel using an endoscope2020

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: 5799768248View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Emergency Medicine, Pulmonary Disease, Hospice/Palliative Care, Hospitalist, Sleep Medicine, Internal MedicineGA
-GA
Orthopedic SurgeryGA
Certified Registered Nurse Anesthetist (Crna)FL
General SurgeryGA
Certified Registered Nurse Anesthetist (Crna)PA
Nurse PractitionerGA
Nurse PractitionerGA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What federal number belongs to RONALD BRADBURN VINCENT JR. PEARSON (M.D.)?
The federal identifier for RONALD BRADBURN VINCENT JR. PEARSON (M.D.) is NPI 1063466803.
Is RONALD BRADBURN VINCENT JR. PEARSON (M.D.) active in the national directory?
RONALD BRADBURN VINCENT JR. PEARSON (M.D.)'s public NPI profile is in an active state.
What kind of provider is RONALD BRADBURN VINCENT JR. PEARSON (M.D.)?
The page reflects Surgery Physician for RONALD BRADBURN VINCENT JR. PEARSON (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for RONALD BRADBURN VINCENT JR. PEARSON (M.D.)?
We surface Blue Ridge, Georgia for RONALD BRADBURN VINCENT JR. PEARSON (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.