DR. PIO L. POBLETE M.D.
NPI 1215929112
Internal Medicine in Columbia, MD

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
89.42/100
CMS Quality Rating
5900 WATERLOO RD STE 200, COLUMBIA, MD 21045(410) 740-2900(410) 992-0732 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Pio L. Poblete M.d. NPPES

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

DR. PIO L. POBLETE M.D. (NPI 1215929112) is an individual internal medicine provider in Columbia, Maryland, licensed in Maryland (D0050338) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1992).

NPPES Registry Identity

NPI1215929112
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PIO L. POBLETECredential: M.D.
Location Address5900 WATERLOO RD STE 200Columbia, MD 21045-2641
Mailing Address7580 Buckingham Blvd Ste 220Hanover, MD 21076-3210 · (410) 729-5100
Fax(410) 992-0732
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1992
Enumeration DateAugust 17, 2005
Last NPPES UpdateMarch 16, 2023
NPPES CertifiedMarch 16, 2023
NPI 1215929112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0050338
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5900 WATERLOO RD STE 200, Columbia, MD 21045

Other Identifiers 11

Other110161664MD · Rr Medicare
Other543574-02MD · Carefirst Md Rendering
Other029921MD · Jhhc Provider Number
Other0568716MD · Aetna Capitated
Medicaid443211800MD
OtherP12724MD · Carefirst Mpos
Other5918117MD · Aetna Fee For Service
Other860239MD · Mamsi Primary Care
Other3509-0009MD · Carefirst Bluechoice
Other260239MD · Mamsi Specialist
Other3117511MD · Cigna Pin

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. Pio L. Poblete M.d. 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 ID2466583422
PECOS Enrollment IDI20100708000570
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 26

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
547 services292 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
392 services275 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
379 services245 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
374 services286 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
361 services262 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
320 services269 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21045 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

89.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.38
Promoting Interoperability100
Improvement Activities40
Cost76.36

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers12 claims26 services$6.11 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 12

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

Internal Medicine
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045
Nurse Practitioner
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045
Internal Medicine
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045
Nurse Practitioner (Family)
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045
Internal Medicine
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045
Internal Medicine
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045
Internal Medicine
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045
Internal Medicine
5900 WATERLOO RD STE 200
COLUMBIA, MD 21045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215929112, enumerated as an "individual" on August 17, 2005.

The provider is located at 5900 WATERLOO RD STE 200 COLUMBIA, MD 21045 and the phone number is (410) 740-2900.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid, Aetna and. Please consult your insurance carrier or call the provider to verify.