DR. ANDREW GRAHAM PEARSON (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1043476054

DR. ANDREW GRAHAM PEARSON (DDS) is a healthcare provider. based in Edina, Minnesota. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials DDS. They hold a License No. D1222 (MN). The NPI Number for DR. ANDREW GRAHAM PEARSON (DDS) is 1043476054

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW GRAHAM PEARSON (DDS)
NPI
1043476054
Phone
(952) 835-5003
Address
7373 FRANCE AVE SO
Enumeration Date
30 July 2008
Last Update Date
3 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Secondary Phone
9524752266
Graduation Year
2006 (20 years ago)
PAC ID
9638295785
Group Practice PAC ID
2961489844
Professional Enrollment ID
I20100925000316
Address ID
MN553911293WA250XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

52 MAXILLOFACIAL SURGERY in MN

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Provider Addresses for DR. ANDREW GRAHAM PEARSON (DDS)

  • #7373 France, Parklawn Avenue, Centennial Lakes, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 602

    EDINA, MN 55435

    Phone: (952) 835-5003

    Type: Mailing

  • Centennial Lakes Medical Center, 7373, France Avenue South, Centennial Lakes, Edina, Hennepin County, Minnesota, 55435-4534, United States

    SUITE 602

    EDINA, MN 554354534

    Phone: (952) 835-5003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $6,656.

Total Amount is formed as General ($6,656) + Research ($0) + Ownership ($0) = $6,656.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Straumann USA LLC ($3,804).

Total Amount

$6,656

General + Research + Ownership

Payments

50

Total payment records

General Amount

$6,656

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2010-09-25

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
I20100925000316IMaxillofacial SurgeryMNTBD

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
99202New patient office or other outpatient visit, 15-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 2961489844View full group profile
NameSpecialtyState
Maxillofacial SurgeryMN
Maxillofacial SurgeryMN
Oral Surgery, Maxillofacial SurgeryMN
Maxillofacial SurgeryIA
Maxillofacial SurgeryPA
Maxillofacial SurgeryPA
-MN
Maxillofacial SurgeryMN
Maxillofacial SurgeryMN
Maxillofacial SurgeryMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ANDREW GRAHAM PEARSON (DDS)'s NPI?
Yes. DR. ANDREW GRAHAM PEARSON (DDS) is listed with NPI 1043476054 in the public NPI dataset.
Can I rely on DR. ANDREW GRAHAM PEARSON (DDS) being an active provider?
As of the registry snapshot, DR. ANDREW GRAHAM PEARSON (DDS) is marked active.
What taxonomy line describes DR. ANDREW GRAHAM PEARSON (DDS)?
For research purposes, treat DR. ANDREW GRAHAM PEARSON (DDS) as Oral and Maxillofacial Surgery (Dentist) in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ANDREW GRAHAM PEARSON (DDS) list a practice location?
Patients near Edina, Minnesota may find DR. ANDREW GRAHAM PEARSON (DDS) in results; validate coverage separately.
Why does DR. ANDREW GRAHAM PEARSON (DDS) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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