DR. RICHARD G PINCKNEY MD
NPI 1225050123
Internal Medicine in Burlington, VT

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
1 S PROSPECT ST, BURLINGTON, VT 05401(802) 847-4531 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard G Pinckney Md NPPES

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

DR. RICHARD G PINCKNEY MD (NPI 1225050123) is an individual internal medicine provider in Burlington, Vermont, licensed in Vermont (0420009497) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of State University Of New York At Buffalo School Of Medicine (1994).

NPPES Registry Identity

NPI1225050123
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD G PINCKNEYCredential: MD
Location Address1 S PROSPECT STBurlington, VT 05401-3456
Mailing Address1 S Prospect StBurlington, VT 05401-3456 · (802) 847-4531
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1994
Enumeration DateJuly 23, 2006
Last NPPES UpdateOctober 8, 2013
NPI 1225050123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VT · 0420009497
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.
1 S PROSPECT ST, Burlington, VT 05401

Other Identifiers 2

MedicaidOVN1601VT
Medicare UPING50925VT

Accepted Insurance

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. Richard G Pinckney 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 ID749290062
PECOS Enrollment IDI20060502000359
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 7

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.
88 services71 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.
77 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services27 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
21 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
12 suppliers21 claims75 services$5.56 avg. paid by Medicare
Canister, non-disposable, used with suction pump, each A7001
DME-Other DME · category DE000N
1 supplier11 claims11 services$28.36 avg. paid by Medicare
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
2 suppliers16 claims16 services$90.93 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$35.49 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.

Dietitian, Registered (Nutrition, Renal)
1 S PROSPECT ST, UHC ARNOLD 2318, RENAL CLINIC
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401
Social Worker (Clinical)
1 S PROSPECT ST
BURLINGTON, VT 05401
Pediatrics
1 S PROSPECT ST
BURLINGTON, VT 05401
Counselor
1 S PROSPECT ST
BURLINGTON, VT 05401
Pharmacist
1 S PROSPECT ST
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401
Pediatrics
1 S PROSPECT ST
BURLINGTON, VT 05401

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 Richard Pinckney's NPI number?

The NPI number for Richard Pinckney is 1225050123. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Richard Pinckney located?

Richard Pinckney practices at 1 S Prospect St, Burlington, VT 05401. The listed phone number is (802) 847-4531.

What is Richard Pinckney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Pinckney enrolled in Medicare?

Yes. Richard Pinckney 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.

What insurance does Richard Pinckney accept?

Health plans from Anthem Blue Cross and Blue Shield list Richard Pinckney 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 Richard Pinckney affiliated with any hospitals?

According to CMS data, Richard Pinckney is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Univ. Of Vermont - Fletcher Allen Health Care and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Richard Pinckney was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.