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LOUIS E PILATI MD
NPI 1205886439
Emergency Medicine - Undersea and Hyperbaric Medicine in Miamisburg, OH

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
98.92/100
CMS Quality Rating
4000 MIAMISBURG CENTERVILLE RD, SUITE 103, MIAMISBURG, OH 45342(937) 384-8772(937) 384-4853 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2020, Mar 1, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Louis E Pilati Md NPPES

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

LOUIS E PILATI MD (NPI 1205886439) is an individual undersea and hyperbaric medicine provider in Miamisburg, Ohio, licensed in Ohio (35.068339) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205886439
Entity TypeIndividualMale
Primary Taxonomy207PE0005X
Provider Legal NameLOUIS E PILATICredential: MD
Location Address4000 MIAMISBURG CENTERVILLE RD, SUITE 103Miamisburg, OH 45342-7615
Mailing Address8166 Old Woods CtSpringboro, OH 45066-9194 · (937) 384-8772
Phone(937) 384-8772
Fax(937) 384-4853
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1993
Enumeration DateMay 10, 2006
Last NPPES UpdateMarch 24, 20203 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
✔ NPI 1205886439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
License✔ Licensed in OH · 35.068339
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X · License 35068339 (OH)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35068339 (OH)
4000 MIAMISBURG CENTERVILLE RD, Miamisburg, OH 45342
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 33535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166

Other Identifiers 1

Medicaid2046459OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Louis E Pilati 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 ID5799759437
PECOS Enrollment IDI20070621000426
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 Reassignments

2

Medicare enrollment records show Louis Pilati reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Hyperbaric Physicians Inc
Same address
Undersea and Hyperbaric Medicine
4000 MIAMISBURG CENTERVILLE RD, SUITE 103
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1205152428 (937) 384-8722
Northeast Surgical Wound Care, Inc.
183 mi
Surgery
6100 ROCKSIDE WOODS BLVD, SUITE 425
Independence, OH 44131
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1649215583 (216) 643-2780

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

Areas of Expertise CMS Part B claims 10

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.
1,494 services290 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
323 services17 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.
145 services145 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
130 services70 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.
83 services31 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.
41 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

98.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.95
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%417 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%10,252 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%771 patients4/55-star benchmark: 100%
HIV Screening
20%618 patients2/55-star benchmark: 60%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,117 patients
Patients screened: 99% · 1,117 patients
74%183 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%630 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%874 patients4/55-star benchmark: 91%
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 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
6 suppliers14 claims1,030 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
4 suppliers11 claims1,443 services$0.38 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
1 supplier19 claims235 services$21.98 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier18 claims170 services$7.35 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
2 suppliers21 claims21 services$587.27 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.

DR. JENICE V WATTS PHARM.D.
Pharmacist
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-4844
DR. JODI LYNNE VAN JURA M.D.
Family Medicine
4000 MIAMISBURG CENTERVILLE RD, SUITE 410
MIAMISBURG, OH 45342
Montgomery County (937) 384-8773
NIRMALA ROSE ABRAHAM MD
Pain Medicine (Pain Medicine)
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-4511
KRISTINE A SCORDO NP
Nurse Practitioner (Acute Care)
4000 MIAMISBURG CENTERVILLE RD, SUITE 100
MIAMISBURG, OH 45342
Montgomery County (937) 643-9939
DR. FRANK J FASANO JR. M.D.
Orthopaedic Surgery
4000 MIAMISBURG CENTERVILLE RD, SUITE 110
MIAMISBURG, OH 45342
Montgomery County (937) 865-9000
KETTERING INDEPENDENT MEDICAL GROUP INC
Durable Medical Equipment & Medical Supplies
4000 MIAMISBURG CENTERVILLE RD, STE. 230
MIAMISBURG, OH 45342
Montgomery County (937) 384-0790
ROSALIND J MASCALL M.D.
Obstetrics & Gynecology
4000 MIAMISBURG CENTERVILLE RD, STE. 200
MIAMISBURG, OH 45342
Montgomery County (937) 293-5200
LIFECARE HOSPITALS OF DAYTON INC
Long Term Care Hospital
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-8300

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 Louis Pilati's NPI number?

The NPI number for Louis Pilati is 1205886439. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Louis Pilati located?

Louis Pilati practices at 4000 Miamisburg Centerville Rd Suite 103, Miamisburg, OH 45342. The listed phone number is (937) 384-8772.

What is Louis Pilati's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is Louis Pilati enrolled in Medicare?

Yes. Louis Pilati 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 organizations bill Medicare for Louis Pilati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Pilati reassigns Medicare benefits to 2 organizations: Midwest Hyperbaric Physicians Inc (Miamisburg, OH) and Northeast Surgical Wound Care, Inc. (Independence, OH). Each 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 Louis Pilati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Louis Pilati accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 4 other insurers list Louis Pilati 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 Louis Pilati affiliated with any hospitals?

According to CMS data, Louis Pilati is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Louis Pilati was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.