DR. JOHN S. PEARSON (DO) – Family Medicine Physician, NPI 1639215478

DR. JOHN S. PEARSON (DO) is a healthcare provider. based in Potosi, Missouri. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. R6P01 (MO). The NPI Number for DR. JOHN S. PEARSON (DO) is 1639215478

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN S. PEARSON (DO)
NPI
1639215478
Phone
(573) 438-8309
Address
1 SOUTHTOWNE DR
Enumeration Date
29 January 2007
Last Update Date
5 November 2012

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5734389355
Graduation Year
1990 (36 years ago)
PAC ID
5193705192
Group Practice PAC ID
3072598143
Professional Enrollment ID
I20040721000793
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JOHN S. PEARSON (DO)

  • 1 SOUTHTOWNE DR

    POTOSI, MO 636645729

    Phone: (573) 438-8309

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Resmed Corp ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Resmed Corp$26
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: 2004-07-21

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
I20040721000793IFamily PracticeMOTBD

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
83036Hemoglobin a1c level5124$0
80053Blood test, comprehensive group of blood chemicals4342$0
80061Blood test, lipids (cholesterol and triglycerides)3837$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2219$0
View full utilization report →

Insurance plans in this area (ZIP 63664)

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Provider's Procedures

DR. JOHN S. PEARSON (DO) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO81002Urinalysis, manual test2920
FAMILY MEDICINEMO83036Hemoglobin A1C level10364

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: 3072598143View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
Nurse PractitionerMO
Clinical Social WorkerMO
Nurse PractitionerMO
Nurse PractitionerMO
Mental Health CounselorMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOHN S. PEARSON (DO)'s NPI?
Yes. DR. JOHN S. PEARSON (DO) is listed with NPI 1639215478 in the public NPI dataset.
Can I rely on DR. JOHN S. PEARSON (DO) being an active provider?
As of the registry snapshot, DR. JOHN S. PEARSON (DO) is marked active.
What is DR. JOHN S. PEARSON (DO)'s specialty?
The listing groups DR. JOHN S. PEARSON (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JOHN S. PEARSON (DO) on a map?
Expect Potosi, Missouri as a primary anchor for DR. JOHN S. PEARSON (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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