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MARCO A PINDER MD
NPI 1184988560
Pediatrics - Pediatric Cardiology in Denver, CO

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
13123 EAST 16TH AVE, DENVER, CO 80238(720) 777-2940(720) 777-7290 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marco A Pinder Md NPPES

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

MARCO A PINDER MD (NPI 1184988560) is an individual pediatric cardiology provider in Denver, Colorado, licensed in Colorado (DR.0055562) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184988560
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameMARCO A PINDERCredential: MD
Location Address13123 EAST 16TH AVEDenver, CO 80238
Mailing Address13123 East 16th Avenue, Box 100Denver, CO 80238 · (720) 777-2940 · Fax (720) 777-7290
Phone(720) 777-2940
Fax(720) 777-7290
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 29, 2012
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1184988560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in CO · DR.0055562
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
13123 EAST 16TH AVE, Denver, CO 80238
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marco A Pinder Md 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 ID648594531
PECOS Enrollment IDI20220820000120
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 Marco Pinder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Medical Group, Inc.
1,502 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065

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

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 Marco Pinder's NPI number?

The NPI number for Marco Pinder is 1184988560. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Marco Pinder located?

Marco Pinder practices at 13123 East 16th Ave, Denver, CO 80238. The listed phone number is (720) 777-2940.

What is Marco Pinder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Marco Pinder enrolled in Medicare?

Yes. Marco Pinder 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.

Which organization bills Medicare for Marco Pinder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Pinder reassigns Medicare benefits to Baycare Medical Group, Inc. (Clearwater, FL). 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 Marco Pinder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Pinder accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Marco Pinder 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 Marco Pinder was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.