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MEGAN PIGNATO
NPI 1053949438
Hospitalist in Albuquerque, NM

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
MSC10-5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-6331(505) 272-0475 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 31, 2025, May 19, 2023, Apr 1, 2020 (3 updates tracked since 2020).

About Megan Pignato NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN PIGNATO (NPI 1053949438) is an individual hospitalist provider in Albuquerque, New Mexico, licensed in Utah (14218640-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of North Dakota School Of Medicine (2020).

NPPES Registry Identity

NPI1053949438
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMEGAN PIGNATO
Location AddressMSC10-5550 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10-5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-0475
Phone(505) 272-6331
Fax(505) 272-0475
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateDecember 31, 20253 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1053949438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in UT · 14218640-1205
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD2023-0194 (NM)
MSC10-5550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Pignato is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729405246
PECOS Enrollment IDI20250919000908
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Megan Pignato reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
473 mi
Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1851904247 (801) 587-7109
Ths Physician Partners Inc
1,398 mi
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 466 clinicians in this Medicare group
NPI 1871866806 (304) 414-4800
Southeastern Hospitalist Services PC
1,586 mi
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
180 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
76 services46 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
45 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN MARTIN JOSEPH MD
Student in an Organized Health Care Education/Training Program
MSC10-5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 362-7003
CAITLIN GOSS MD
Preventive Medicine (Public Health & General Preventive Medicine)
MSC10-5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-1443
LAURA EMILY COTTER MD
Family Medicine (Hospice and Palliative Medicine)
MSC10-5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4868
ANTHONY PHAM NGUYEN
Student in an Organized Health Care Education/Training Program
MSC10-5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-6331
DR. NATHAN DEAN NIELSEN M.D.
Internal Medicine (Critical Care Medicine)
MSC10-5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4751
CHRISTOPHER MARK HERTZ MD
Student in an Organized Health Care Education/Training Program
MSC10-5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Pignato's NPI number?

The NPI number for Megan Pignato is 1053949438. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Megan Pignato located?

Megan Pignato practices at Msc10-5550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-6331.

What is Megan Pignato's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Megan Pignato enrolled in Medicare?

Yes. Megan Pignato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Megan Pignato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Pignato reassigns Medicare benefits to 3 organizations: University Of Utah Adult Services (Sandy, UT), Ths Physician Partners Inc (South Charleston, WV) and Southeastern Hospitalist Services PC (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Pignato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Pignato accept?

Health plans from CareSource list Megan Pignato as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Megan Pignato affiliated with any hospitals?

According to CMS data, Megan Pignato is affiliated with University Of Utah Hospitals And Clinics and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Megan Pignato was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.