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MR. WESLEY PINTO MMS, PA
NPI 1073894580
Physician Assistant in Alexander City, AL

Active since August 30, 2011PECOS EnrolledAccepts Medicare Assignment
68.49/100
CMS Quality Rating
3368 HIGHWAY 280, SUITE G15, ALEXANDER CITY, AL 35010(256) 329-1114(256) 329-3339 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Wesley Pinto Mms, Pa NPPES

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

MR. WESLEY PINTO MMS, PA (NPI 1073894580) is an individual physician assistant in Alexander City, Alabama and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2011).

NPPES Registry Identity

NPI1073894580
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WESLEY PINTOCredential: MMS, PA
Location Address3368 HIGHWAY 280, SUITE G15Alexander City, AL 35010-3393
Mailing Address3368 Highway 280, Suite G15Alexander City, AL 35010-3393 · (256) 329-1114 · Fax (256) 329-3339
Phone(256) 329-1114
Fax(256) 329-3339
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2011
Enumeration DateAugust 30, 2011
✔ NPI 1073894580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3368 HIGHWAY 280, Alexander City, AL 35010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Wesley Pinto Mms, Pa 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 ID5395912372
PECOS Enrollment IDI20120113000523
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.

Areas of Expertise CMS Part B claims 15

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
407 services303 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
364 services282 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
269 services213 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
95 services74 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
80 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35010 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

68.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.21
Improvement Activities40
Cost62.69

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%3,344 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
96%498 patients5/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%475 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%2,706 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%710 patients3/55-star benchmark: 90%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%2,706 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%2,706 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims61 services$2.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

BARBARA A. MICHNA M.D.
Surgery
3368 HIGHWAY 280, PROFESSIONAL BUILING SUITE 218
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 215-5501
EDWARD P. HILL, IV, MD
Internal Medicine
3368 HIGHWAY 280, SUITE 120
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 234-3007
MICHELE GOLDHAGEN MD
Emergency Medicine
3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-7134
MRS. LORI G. MCCOLLUM M.C.D., CCC-A
Audiologist
3368 HIGHWAY 280, SUITE G-15
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-1114
MEDICAL PARK OPTICAL INC.
Eyewear Supplier
3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-8646
THE WOMEN'S DIET CLINIC
Obstetrics & Gynecology
3368 HIGHWAY 280, SUITE 111
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 234-3477
DR. FRED ANTHONY MCLEOD M. D.
Specialist
3368 HIGHWAY 280, STE G-15
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-1114
BONE & JOINT SPECIALISTS, P.C.
Orthopaedic Surgery
3368 HIGHWAY 280, SUITE 116
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-9133

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 Wesley Pinto's NPI number?

The NPI number for Wesley Pinto is 1073894580. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Wesley Pinto located?

Wesley Pinto practices at 3368 Highway 280 Suite G15, Alexander City, AL 35010. The listed phone number is (256) 329-1114.

What is Wesley Pinto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Wesley Pinto enrolled in Medicare?

Yes. Wesley Pinto 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.

What insurance does Wesley Pinto accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Wesley Pinto 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.

When was this NPI record last updated?

The NPPES record for Wesley Pinto was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.