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FERNANDO SANTOS PINHEIRO M.D.
NPI 1285932343
Psychiatry & Neurology - Neurology in Orlando, FL

Active since March 14, 2011PECOS EnrolledAccepts Medicare Assignment
1400 S ORANGE AVE, ORLANDO, FL 32806(321) 842-9097(321) 843-6330 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Nov 3, 2017 (2 updates tracked since 2017).

About Fernando Santos Pinheiro M.d. NPPES

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

FERNANDO SANTOS PINHEIRO M.D. (NPI 1285932343) is an individual neurology provider in Orlando, Florida, licensed in Florida (ME168724) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1285932343
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameFERNANDO SANTOS PINHEIROCredential: M.D.
Location Address1400 S ORANGE AVEOrlando, FL 32806-2134
Mailing Address1400 S Orange AveOrlando, FL 32806-2134 · (321) 842-9097 · Fax (321) 843-6330
Phone(321) 842-9097
Fax(321) 843-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 14, 2011
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1285932343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · ME168724✔ Licensed in WI · 67754
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1400 S ORANGE AVE, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Location 1

Location 19200 W Wisconsin Avenue, Neuro-OncologyMilwaukee, WI 53226-3522 · Phone (414) 805-8710 · Fax (414) 259-0469

Other Identifiers 2

Medicaid122896900FL
Medicaid1285932343WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AmeriHealth Caritas Next 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

Fernando Santos Pinheiro 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 ID4688971823
PECOS Enrollment IDI20240702002683
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 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 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.
16 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier11 claims11 services$11,129.82 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
3 suppliers32 claims5,402 services$0.57 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers30 claims30 services$18.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims12 services$12.64 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.

LAUREN C. MEADOR PA-C.
Physician Assistant (Medical)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
MADISON JULIA MARCANO PA-C
Physician Assistant
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 843-8010
DR. DANIEL J BUCHHOLZ MD
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
YASSER KHALED MD
Internal Medicine (Medical Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
MRS. LAURA KIZER MYROLD ARNP
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE, MP 710
ORLANDO, FL 32806
Orange County (407) 648-3800
SARAH JANE ATKINS APRN
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 841-1893
DR. PATRICK KELLY M.D.
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
LINDSEY R NEELY ARNP
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800

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 Fernando Santos Pinheiro's NPI number?

The NPI number for Fernando Santos Pinheiro is 1285932343. It was assigned to this individual provider in the NPPES registry on March 14, 2011.

Where is Fernando Santos Pinheiro located?

Fernando Santos Pinheiro practices at 1400 S Orange Ave, Orlando, FL 32806. The listed phone number is (321) 842-9097.

What is Fernando Santos Pinheiro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Fernando Santos Pinheiro enrolled in Medicare?

Yes. Fernando Santos Pinheiro 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 Fernando Santos Pinheiro accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Fernando Santos Pinheiro 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 Fernando Santos Pinheiro affiliated with any hospitals?

According to CMS data, Fernando Santos Pinheiro is affiliated with Orlando Health, Orlando Health-Health Central Hospital and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Fernando Santos Pinheiro was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.