PAUL E PINSON M.D.
NPI 1265431035
Anesthesiology - Pain Medicine in Cleveland, TN

Active since July 14, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 44D2128524 · Waiver
100/100
CMS Quality Rating
3917 GEORGETOWN RD NW, CLEVELAND, TN 37312(423) 803-3830(423) 402-8550 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Feb 12, 2020, Dec 5, 2019 and 3 more (6 updates tracked since 2016).

About Paul E Pinson M.d. NPPES

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

PAUL E PINSON M.D. (NPI 1265431035) is an individual pain medicine provider in Cleveland, Tennessee, licensed in Tennessee (49170) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 30, 2027, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1265431035
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NamePAUL E PINSONCredential: M.D.
Location Address3917 GEORGETOWN RD NWCleveland, TN 37312
Mailing Address3917 Georgetown Road NwCleveland, TN 37312 · (423) 803-3830 · Fax (423) 402-8550
Fax(423) 402-8550
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 14, 2005
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2020
NPI 1265431035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in TN · 49170
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 49170 (TN)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 49170 (TN)
3917 GEORGETOWN RD NW, Cleveland, TN 37312

Secondary Practice Location 1

Location 13770 Ocoee Pl NW Ste 100Cleveland, TN 37312-6015 · Phone (423) 813-3830 · Fax (423) 402-8550

Other Identifiers 1

Medicaid1529757TN

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

Paul E Pinson 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 ID7911979604
PECOS Enrollment IDI20160706000092
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2128524

Paul E Pinson, MD · Cleveland, TN
Active · expires Mar 30, 2027
CLIA Number44D2128524
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorDr. Paul E. Pinson
Laboratory Phone(423) 813-3830
Laboratory LocationPaul E Pinson, MD3917 Georgetown Road NW, Cleveland, TN 37312
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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.
1,680 services226 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
680 services48 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
293 services178 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
114 services21 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.
109 services66 patients
Urine pregnancy test 81025
A urine pregnancy test is a simple procedure that checks if you might be expecting a baby. It works by detecting a specific hormone in your urine that is only present when a baby is potentially on the way. It's a quick, easy and private method to get early information.
95 services12 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.43
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
91%256 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
93%523 patients5/55-star benchmark: 88%
Diabetes: Eye Exam
0%39 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%39 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
58%929 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%226 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
82%690 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%601 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%918 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 68% · 184 patients
Patients screened: 75% · 184 patients
63%32 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 239 patients
Patients totalRate: 25% · 239 patients
22%239 patients2/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
3917 GEORGETOWN RD NW
CLEVELAND, TN 37312
Nurse Practitioner (Family)
3917 GEORGETOWN RD NW
CLEVELAND, TN 37312
Anesthesiology (Pain Medicine)
3917 GEORGETOWN RD NW
CLEVELAND, TN 37312
Nurse Practitioner (Family)
3917 GEORGETOWN RD NW
CLEVELAND, TN 37312
Nurse Practitioner
3917 GEORGETOWN RD NW
CLEVELAND, TN 37312

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 Paul Pinson's NPI number?

The NPI number for Paul Pinson is 1265431035. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Paul Pinson located?

Paul Pinson practices at 3917 Georgetown Rd NW, Cleveland, TN 37312. The listed phone number is (423) 803-3830.

What is Paul Pinson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Paul Pinson enrolled in Medicare?

Yes. Paul Pinson 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.

Does Paul Pinson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2128524) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Paul Pinson accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Paul Pinson 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 Paul Pinson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.