EDWARD J PIENKOS MD
NPI 1356324669
Urology in Durango, CO
About Edward J Pienkos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD J PIENKOS MD (NPI 1356324669) is an individual urology provider in Durango, Colorado, licensed in Colorado (DR.0069785) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edward J Pienkos 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.
Medicare Billing Reassignments
4Medicare enrollment records show Edward Pienkos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eau Claire, WI 54701
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Indianapolis, IN 46237
- Reassigned Medicare billing, Indiana enrollment
- 1,396 clinicians in this Medicare group
Darlington, SC 29532
- Reassigned Medicare billing, South Carolina enrollment
- 878 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcleod Regional Medical Center-Pee Dee
Acute Care Hospitals · Florence, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURANGO, CO 81301
DURANGO, CO 81301
DURANGO, CO 81301
DURANGO, CO 81301
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 Edward Pienkos's NPI number?
The NPI number for Edward Pienkos is 1356324669. It was assigned to this individual provider in the NPPES registry on November 22, 2005.
Where is Edward Pienkos located?
Edward Pienkos practices at 1010 Three Springs Blvd Ste 270, Durango, CO 81301. The listed phone number is (970) 764-3845.
What is Edward Pienkos's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Edward Pienkos enrolled in Medicare?
Yes. Edward Pienkos 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.
Which organizations bill Medicare for Edward Pienkos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Pienkos reassigns Medicare benefits to 4 organizations: Mchs Hospitals Inc (Eau Claire, WI), Marshfield Clinic Inc (Marshfield, WI), Franciscan Physician Network (Indianapolis, IN) and Mcleod Physician Associates II (Darlington, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Pienkos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Pienkos accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health and 1 other insurer list Edward Pienkos 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 Edward Pienkos affiliated with any hospitals?
According to CMS data, Edward Pienkos is affiliated with Mcleod Regional Medical Center-Pee Dee.
When was this NPI record last updated?
The NPPES record for Edward Pienkos was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Edward J Pienkos, MD · NPI 1356324669
Urology physician in Durango, Colorado. Individual provider, active in the CMS NPPES registry since November 22, 2005.
## Identity
- **NPI:** 1356324669 (Entity type: Individual)
- **Enumerated:** November 22, 2005
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** DR.0069785 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1010 THREE SPRINGS BLVD STE 270, Durango, CO 81301-8296
- **Phone:** (970) 764-3845 · **Fax:** (970) 764-3823
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mchs Hospitals Inc (NPI 1316416035, Eau Claire, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Franciscan Physician Network (NPI 1225327984, Indianapolis, IN); Mcleod Physician Associates II (NPI 1386819613, Darlington, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1969
## Record status
- **NPPES last updated:** November 14, 2022
- **Other identifiers:** Medicaid 88435768 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1356324669) · Data from the CMS NPPES public registry.