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DR. SANDRA MILENA PINZON M.D.
NPI 1073774139
Psychiatry & Neurology - Neurology in New Castle, PA

Active since June 21, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
2004 W STATE ST, NEW CASTLE, PA 16101(724) 656-4037 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sandra Milena Pinzon M.d. NPPES

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

DR. SANDRA MILENA PINZON M.D. (NPI 1073774139) is an individual neurology provider in New Castle, Pennsylvania, licensed in Pennsylvania (MD444580) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073774139
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SANDRA MILENA PINZONCredential: M.D.
Location Address2004 W STATE STNew Castle, PA 16101-1248
Mailing Address4820 Palomino CtErie, PA 16506-6624
Phone(724) 656-4037
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 21, 2008
Last NPPES UpdateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
✔ NPI 1073774139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD444580
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT192057 (PA)
2004 W STATE ST, New Castle, PA 16101
Open in Google Maps ↗

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

Dr. Sandra Milena Pinzon M.d. 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 ID5799921748
PECOS Enrollment IDI20130417000187
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

2

Medicare enrollment records show Sandra Pinzon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
29 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195
Regional Health Services Inc
81 mi
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140

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 4

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.

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
60 services56 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
27 services27 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
21 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16101 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 3

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

KATHERINE GRACE ARBUCKLE CRNP
Nurse Practitioner (Family)
2004 W STATE ST
NEW CASTLE, PA 16101
Lawrence County (724) 658-3712
DR. STEPHANIE HAKIMIAN M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2004 W STATE ST
NEW CASTLE, PA 16101
Lawrence County (561) 340-9718
UPMC COMMUNITY MEDICINE INC
Family Medicine
2004 W STATE ST
NEW CASTLE, PA 16101
Lawrence County (412) 647-7788

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 Sandra Pinzon's NPI number?

The NPI number for Sandra Pinzon is 1073774139. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Where is Sandra Pinzon located?

Sandra Pinzon practices at 2004 W State St, New Castle, PA 16101. The listed phone number is (724) 656-4037.

What is Sandra Pinzon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sandra Pinzon enrolled in Medicare?

Yes. Sandra Pinzon 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 Sandra Pinzon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Pinzon reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (East Liverpool, OH) and Regional Health Services Inc (Erie, PA). 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 Sandra Pinzon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sandra Pinzon affiliated with any hospitals?

According to CMS data, Sandra Pinzon is affiliated with Upmc Jameson and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Sandra Pinzon was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.