CARLIE M PEARSON (MD) – Family Medicine Physician, NPI 1144845876

CARLIE M PEARSON (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 64893 (OK). The NPI Number for CARLIE M PEARSON (MD) is 1144845876

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CARLIE M PEARSON (MD)
NPI
1144845876
Phone
(405) 632-6688
Address
3000 N GRAND BLVD
Enumeration Date
9 June 2020
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4056326688
Graduation Year
2020 (6 years ago)
PAC ID
1052792678
Group Practice PAC ID
1557260007
Professional Enrollment ID
I20231002002197
Address ID
OK731071818OK3000XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for CARLIE M PEARSON (MD)

  • 3000 N GRAND BLVD

    OKLAHOMA CITY, OK 731071818

    Phone: (405) 632-6688

    Type: Mailing

  • 721 W BRITTON RD

    OKLAHOMA CITY, OK 731142909

    Phone: (405) 632-6688

    Type: Location

  • 1109 NE 120TH ST

    OKLAHOMA CITY, OK 731311602

    Phone: (405) 519-6234

    Type: Mailing

  • 900 NE 10TH ST

    OKLAHOMA CITY, OK 731045420

    Phone: (405) 519-6234

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Organon LLC ($79).

Total Amount

$115

General + Research + Ownership

Payments

4

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-10-02

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
I20231002002197IFamily PracticeOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73107)

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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: 1557260007View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Nurse PractitionerOK
-OK
Certified Nurse Midwife (Cnm)OK
Family PracticeOK
Family PracticeOK
-OK
Internal MedicineOK
Nurse PractitionerOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

What number should I use to identify CARLIE M PEARSON (MD) for billing?
Administrative and clinical systems typically use NPI 1144845876 for CARLIE M PEARSON (MD).
Does the public listing show CARLIE M PEARSON (MD) as active?
CARLIE M PEARSON (MD)'s NPI record reflects an active status in NPPES.
What services align with CARLIE M PEARSON (MD)'s listing?
CARLIE M PEARSON (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to CARLIE M PEARSON (MD)?
CARLIE M PEARSON (MD) shows a connection to Oklahoma City, Oklahoma in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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