AVELINO A PINON MD NPI 1164495362

Specialist in Miami, FL

NPI 1164495362 Individual Male Years of Experience 38 Specialist PECOS Enrolled Accepts Medicare Approved Payment

About AVELINO PINON

Avelino Pinon is a provider established in Miami, Florida and his medical specialization is specialist with more than 38 years of experience. The NPI number of Avelino Pinon is 1164495362 and was assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number ME0049119 (FL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

Avelino Pinon is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Avelino Pinon is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mariners Hospital, Baptist Hospital Of Miami and Homestead Hospital.

NPI

1164495362

Provider Name AVELINO A PINON MD
Provider Location Address7400 SW 87TH AVE SUITE 240 MIAMI, FL 33173
Provider Mailing Address7400 SW 87TH AVE SUITE 240 MIAMI, FL 33173
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1984
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-08-2006
Last Update Date10-25-2012


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.ME0049119
License StateFL
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

AVELINO A PINON MD
7400 SW 87TH AVE
SUITE 240
MIAMI, FL
ZIP 33173
Phone: (305) 270-6000
Fax: (305) 598-7754

Get Directions


Mailing Address

AVELINO A PINON MD
7400 SW 87TH AVE
SUITE 240
MIAMI, FL
ZIP 33173
Phone: (305) 270-6000
Fax: (305) 598-7754



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1658565650
PECOS Enrollment IDI20101103001268
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 222Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 74Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 39Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 15Biopsy of prostate gland (HCPCS:55700)
  • 15Ultrasound of rectum (HCPCS:76872)
  • 15Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Avelino Pinon is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MARINERS HOSPITAL91500 OVERSEAS HIGHWAY
TAVERNIER, FL 33070
(305) 434-3000Critical Access Hospitals101313
BAPTIST HOSPITAL OF MIAMI8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960Acute Care Hospitals100008
HOMESTEAD HOSPITAL975 BAPTIST WAY
HOMESTEAD, FL 33033
(786) 243-8000Acute Care Hospitals100125

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
08715XMEDICARE PIN (08)FL
002649600MEDICAID (05)FL
E75807MEDICARE UPIN (02)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366421216 ALDO E RUIZ PT
Individual
Physical Therapist7400 SW 87TH AVE SUITE 200
MIAMI, FL 33173
(305) 595-9200
1730218488GALLOWAY DIAGNOSTICS INC
Organization
Clinic/Center (Radiology)7400 SW 87TH AVE SUITE 220
MIAMI, FL 33173
(305) 595-4425
1932238755DIAGNOSTIC TESTING GROUP INC
Organization
Clinic/Center (Radiology)7400 SW 87TH AVE SUITE 220
MIAMI, FL 33173
(305) 595-4425
1669680575DR. WILLIAM I GANZ M.D.
Individual
Radiology (Diagnostic Radiology)7400 SW 87TH AVE SUITE 220
MIAMI, FL 33173
(305) 275-6069
1659524791MIDTOWN IMAGING, LLC.
Organization
Clinic/Center (Radiology)7400 SW 87TH AVE SUITE120A
MIAMI, FL 33173
(305) 598-2203
1215166269 LOURDES LABRADA ARNP
Individual
Nurse Practitioner7400 SW 87TH AVE SUITE 100
MIAMI, FL 33173
(305) 275-8200
1427288067MIDTOWN IMAGING LLC
Organization
Clinic/Center (Radiology)7400 SW 87TH AVE SUITE 120B
MIAMI, FL 33173
(305) 595-4425
1457325748 WILLIAM M COHEN MD
Individual
Specialist7400 SW 87TH AVE SUITE 240
MIAMI, FL 33173
(305) 240-6000
1215272638 NATACHA UGUET ARNP,NP-C
Individual
Nurse Practitioner (Family)7400 SW 87TH AVE SUITE 240
MIAMI, FL 33173
(305) 270-6010
1841501186 YARIELA MARGARITA ENRIQUEZ MD
Individual
Internal Medicine7400 SW 87TH AVE SUITE 260
MIAMI, FL 33173
(305) 271-0350
1437478260ENLIGHTEN RADIOLOGY OF FLORIDA PLLC
Organization
Radiology (Diagnostic Radiology)7400 SW 87TH AVE SUITE 120A
MIAMI, FL 33173
(305) 595-4425
1457390965 THEODORE FELDMAN M.D.
Individual
Internal Medicine (Cardiovascular Disease)7400 SW 87TH AVE SUITE 100
MIAMI, FL 33173
(305) 275-8200
1891950150DR. DAMIAN FERNANDO CHAUPIN M.D.
Individual
Internal Medicine (Cardiovascular Disease)7400 SW 87TH AVE SUITE 100
MIAMI, FL 33173
(305) 275-8200
1780821462DR. MARIO IGNACIO PASCUAL M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)7400 SW 87TH AVE SUITE 100
MIAMI, FL 33173
(305) 275-8200
1548629405HEARTWELL
Organization
Nurse Practitioner (Acute Care)7400 SW 87TH AVE SUITE 100
MIAMI, FL 33173
(305) 275-8200
1982000337 VERONICA LISSETTE BELLUMIO ARNP
Individual
Nurse Practitioner (Family)7400 SW 87TH AVE 100
MIAMI, FL 33173
(305) 519-3634
1750795415 NICOLE BARBARA ORIZONDO PA-C
Individual
Physician Assistant7400 SW 87TH AVE
MIAMI, FL 33173
(305) 301-2632
1902258569 DAVID DINICOLA ARNP
Individual
Nurse Practitioner7400 SW 87TH AVE SUITE 100
MIAMI, FL 33173
(305) 275-8200
1629207808 LISA KLEIN DAVIS PA
Individual
Physician Assistant7400 SW 87TH AVE SUITE 100
MIAMI, FL 33173
(305) 275-8200
1336689512 SARAH R ANDERSON ARNP
Individual
Nurse Practitioner (Family)7400 SW 87TH AVE SUITE 120B
MIAMI, FL 33173
(305) 630-4100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.