HAL S PINELESS D.O.
NPI 1114917978
Psychiatry & Neurology - Neurology in Winter Park, FL

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
1890 STATE ROAD 436, SUITE 255, WINTER PARK, FL 32792(407) 657-7900(407) 657-7942 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hal S Pineless D.o. NPPES

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

HAL S PINELESS D.O. (NPI 1114917978) is an individual neurology provider in Winter Park, Florida, licensed in Florida (OS0005087) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1981).

NPPES Registry Identity

NPI1114917978
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameHAL S PINELESSCredential: D.O.
Location Address1890 STATE ROAD 436, SUITE 255Winter Park, FL 32792-2285
Mailing Address1890 State Road 436, Suite 255Winter Park, FL 32792-2285 · (407) 657-7900 · Fax (407) 657-7942
Fax(407) 657-7942
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1981
Enumeration DateOctober 24, 2005
Last NPPES UpdateMay 9, 2011
NPI 1114917978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · OS0005087
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.
1890 STATE ROAD 436, Winter Park, FL 32792

Other Identifiers 2

Medicare UPINC47349FL
Medicare PIN82861XFL

Accepted 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

Hal S Pineless D.o. 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 ID6608869797
PECOS Enrollment IDI20090803000540
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 8

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 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.
337 services208 patients
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.
216 services138 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.
121 services121 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
50 services50 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services34 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.35
Promoting Interoperability70
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,734 patients5/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
88%86 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
99%86 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
66%363 patients3/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
71%56 patients4/55-star benchmark: 90%
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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers29 claims29 services$31.51 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 15

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

Allergy & Immunology
1890 STATE ROAD 436, SUITE 215
WINTER PARK, FL 32792
Counselor (Professional)
1890 STATE ROAD 436, STE. 251
WINTER PARK, FL 32792
Counselor (Professional)
1890 STATE ROAD 436, STE. 251
WINTER PARK, FL 32792
Surgery
1890 STATE ROAD 436, SUITE 319
WINTER PARK, FL 32792
Home Health
1890 STATE ROAD 436, SUITE 355
WINTER PARK, FL 32792
Psychiatry & Neurology (Neurology)
1890 STATE ROAD 436, SUITE 255
WINTER PARK, FL 32792
Massage Therapist
1890 STATE ROAD 436, SUITE 251
WINTER PARK, FL 32792
Nurse Practitioner (Family)
1890 STATE ROAD 436, STE 215
WINTER PARK, FL 32792

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 Hal Pineless's NPI number?

The NPI number for Hal Pineless is 1114917978. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Hal Pineless located?

Hal Pineless practices at 1890 State Road 436 Suite 255, Winter Park, FL 32792. The listed phone number is (407) 657-7900.

What is Hal Pineless's specialty?

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

Is Hal Pineless enrolled in Medicare?

Yes. Hal Pineless 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 Hal Pineless accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Hal Pineless 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 Hal Pineless affiliated with any hospitals?

According to CMS data, Hal Pineless is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Hal Pineless was last updated on May 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.