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DR. THOMAS Z PINEO D.O.
NPI 1154397453
Family Medicine in Harrisburg, PA

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
4300 LONDONDERRY RD, HARRISBURG, PA 17109(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2021, Jan 26, 2021 (2 updates tracked since 2021).

About Dr. Thomas Z Pineo D.o. NPPES

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

DR. THOMAS Z PINEO D.O. (NPI 1154397453) is an individual family medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS009888L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Philadelphia College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1154397453
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS Z PINEOCredential: D.O.
Location Address4300 LONDONDERRY RDHarrisburg, PA 17109-5317
Mailing Address4300 Londonderry RdHarrisburg, PA 17109-5317
Phone(717) 231-8772
Fax(717) 231-8435
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1997
Enumeration DateFebruary 27, 2006
Last NPPES UpdateApril 14, 20212 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1154397453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS009888L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4300 LONDONDERRY RD, Harrisburg, PA 17109
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Other Identifiers 1

Medicaid0017955260001PA

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

Dr. Thomas Z Pineo 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 ID1456269950
PECOS Enrollment IDI20061208000015
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 6

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.
110 services68 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.
57 services55 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.
53 services34 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.
26 services25 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.
26 services26 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$89.58 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.

JOANNA RAE PHILLIPPY
Occupational Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
DANIEL EUGENE KOLB
Occupational Therapy Assistant
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
MIEKE KARIN SWANSON PT
Physical Therapist
4300 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
PINNACLE HEALTH HOSPITALIST SERVICES LLC
Hospitalist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 231-8772
N'SHEBA K THOMPSON
Registered Nurse (Rehabilitation)
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
DANYA ABEDEEN
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (347) 545-8043
DR. ALIA ALSAIDY DO
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 231-8772
GRACE BARTON PT, DPT
Physical Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 216-2700

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 Pineo's NPI number?

The NPI number for Thomas Pineo is 1154397453. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Thomas Pineo located?

Thomas Pineo practices at 4300 Londonderry Rd, Harrisburg, PA 17109. The listed phone number is (717) 231-8772.

What is Thomas Pineo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Pineo enrolled in Medicare?

Yes. Thomas Pineo 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.

Is Thomas Pineo affiliated with any hospitals?

According to CMS data, Thomas Pineo is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Lititz, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Thomas Pineo was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.