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DR. THOMAS B. PINTO M.D.
NPI 1104827872
Internal Medicine - Cardiovascular Disease in Butler, PA

Active since August 03, 2005PECOS Enrolled
127 ONELDA VALLEY RD, SUITE 202, BUTLER, PA 16001(866) 620-6761(724) 283-3043 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas B. Pinto M.d. NPPES

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

DR. THOMAS B. PINTO M.D. (NPI 1104827872) is an individual cardiovascular disease provider in Butler, Pennsylvania, licensed in Pennsylvania (MD037055L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104827872
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. THOMAS B. PINTOCredential: M.D.
Location Address127 ONELDA VALLEY RD, SUITE 202Butler, PA 16001-2239
Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 284-5670 · Fax (724) 284-4144
Phone(866) 620-6761
Fax(724) 283-3043
Sole ProprietorNo
Enumeration DateAugust 3, 2005
Last NPPES UpdateNovember 4, 2016
✔ NPI 1104827872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD037055L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
127 ONELDA VALLEY RD, Butler, PA 16001
Open in Google Maps ↗

Other Identifiers 3

Medicaid0008760490013PA
Medicare UPINB34353PA
Medicare ID-Type Unspecified048857GK7PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas B. Pinto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Thomas Pinto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Butler Medical Providers
Same address
Endocrinology, Diabetes & Metabolism
127 ONEIDA VALLEY RD STE 101
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1023478237 (833) 604-7211

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Thomas Pinto's NPI number?

The NPI number for Thomas Pinto is 1104827872. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Thomas Pinto located?

Thomas Pinto practices at 127 Onelda Valley Rd Suite 202, Butler, PA 16001. The listed phone number is (866) 620-6761.

What is Thomas Pinto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Pinto enrolled in Medicare?

Yes. Thomas Pinto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Pinto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Pinto reassigns Medicare benefits to Butler Medical Providers (Butler, PA). The 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 Thomas Pinto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Pinto was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.