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DR. CALEB EVANS PINEO MD
NPI 1275794703
Family Medicine in Durham, NC

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
1821 HILLANDALE RD, DURHAM, NC 27705(919) 383-5437 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Caleb Evans Pineo Md NPPES

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

DR. CALEB EVANS PINEO MD (NPI 1275794703) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (201100483) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2008).

NPPES Registry Identity

NPI1275794703
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CALEB EVANS PINEOCredential: MD
Location Address1821 HILLANDALE RDDurham, NC 27705-2659
Mailing Address5213 S Alston AveDurham, NC 27713-4430
Phone(919) 383-5437
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2008
Enumeration DateJune 18, 2008
Last NPPES UpdateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1275794703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 201100483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1821 HILLANDALE RD, Durham, NC 27705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Caleb Evans Pineo 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 ID9436328853
PECOS Enrollment IDI20110801000672
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 8

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 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.
200 services106 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.
159 services118 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.
75 services75 patients
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.
58 services47 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
43 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 5

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
6 suppliers15 claims26 services$6.60 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers14 claims14 services$33.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers16 claims16 services$41.66 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers15 claims90 services$1.78 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
6 suppliers11 claims11 services$12.26 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. ERIC STEPHEN MOORE M.D.
Internal Medicine (Cardiovascular Disease)
1821 HILLANDALE RD, SUITE 25C
DURHAM, NC 27705
Durham County (919) 220-5510
DEBORAH NOWACK RN
Registered Nurse (Diabetes Educator)
1821 HILLANDALE RD, SUITE 24B
DURHAM, NC 27705
Durham County (919) 383-5437
MICHAEL R KOMADA MD
Internal Medicine (Cardiovascular Disease)
1821 HILLANDALE RD, SUITE 25C
DURHAM, NC 27705
Durham County (915) 220-5510
DR. MELINDA L SIMONS PHARMD
Pharmacist
1821 HILLANDALE RD, KERR DRUG 408
DURHAM, NC 27705
Durham County (919) 383-0820
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Cardiovascular Disease)
1821 HILLANDALE RD, STE. 25C
DURHAM, NC 27705
Durham County (919) 220-5510
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Family Medicine
1821 HILLANDALE RD, STE. 24B
DURHAM, NC 27705
Durham County (919) 383-5437
ELIZABETH HENKE MD
Internal Medicine (Cardiovascular Disease)
1821 HILLANDALE RD, SUITE 25C
DURHAM, NC 27705
Durham County (919) 220-5510
MR. JAMES FRANKLIN KILLIAN RPH
Pharmacist
1821 HILLANDALE RD
DURHAM, NC 27705
Durham County (919) 383-9428

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 Caleb Pineo's NPI number?

The NPI number for Caleb Pineo is 1275794703. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Caleb Pineo located?

Caleb Pineo practices at 1821 Hillandale Rd, Durham, NC 27705. The listed phone number is (919) 383-5437.

What is Caleb Pineo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Caleb Pineo enrolled in Medicare?

Yes. Caleb Pineo 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 Caleb Pineo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Caleb Pineo 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 Caleb Pineo affiliated with any hospitals?

According to CMS data, Caleb Pineo is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Caleb Pineo was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.