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LORIE ELLEN PISTONE
NPI 1356890834
Nurse Practitioner in Boynton Beach, FL

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment
1880 N CONGRESS AVE, STE 303A, BOYNTON BEACH, FL 33426(561) 734-8111 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lorie Ellen Pistone NPPES

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

LORIE ELLEN PISTONE (NPI 1356890834) is an individual nurse practitioner in Boynton Beach, Florida, licensed in Florida (ARNP9386019) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Florida Atlantic University, College Of Medicine (2014).

NPPES Registry Identity

NPI1356890834
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORIE ELLEN PISTONE
Location Address1880 N CONGRESS AVE, STE 303ABoynton Beach, FL 33426-8671
Mailing Address940 Sweetwater Ln, Apt. 516Boca Raton, FL 33431-7132 · (561) 465-3431
Phone(561) 734-8111
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2014
Enumeration DateSeptember 26, 2016
✔ NPI 1356890834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9386019
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License ARNP9386019 (FL)
1880 N CONGRESS AVE, Boynton Beach, FL 33426
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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

Lorie Ellen Pistone 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 ID446539415
PECOS Enrollment IDI20230508000218, I20230606000121
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.

Medicare Billing Reassignment

Medicare enrollment records show Lorie Pistone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maryland Medical Specialists Inc
879 mi
Clinic/Center
133 ROLLINS AVE STE 3
Rockville, MD 20852
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 14 clinicians in this Medicare group
NPI 1245907252 (800) 557-8950

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 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.

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.
36 services13 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
30 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33426 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
49%132 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%268 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
24%67 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,045 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
78%259 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
89%123 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%42 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%547 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
78%259 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
48%540 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
26%482 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
38%439 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 264 patients
75%264 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%547 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%547 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%547 patients
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 7

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

MOSTAFAVI MD PA
Surgery (Vascular Surgery)
1880 N CONGRESS AVE, SUITE 301
BOYNTON BEACH, FL 33426
Palm Beach County (561) 424-5004
HOPE STARKMAN MD
Internal Medicine (Rheumatology)
1880 N CONGRESS AVE, SUITE 320
BOYNTON BEACH, FL 33426
Palm Beach County (561) 736-9699
DR. JAY R. PECHTER M.D.
Ophthalmology
1880 N CONGRESS AVE, SUITE 309
BOYNTON BEACH, FL 33426
Palm Beach County (561) 733-2388
OCEAN RIDGE ARTHRITIS ASSOCIATES PA
Internal Medicine (Rheumatology)
1880 N CONGRESS AVE, SUITE 320
BOYNTON BEACH, FL 33426
Palm Beach County (561) 736-9699
DR. TY KAINE SWARTZLANDER M.D.
Obstetrics & Gynecology
1880 N CONGRESS AVE, SUITE 320
BOYNTON BEACH, FL 33426
Palm Beach County (561) 413-2832
ARMAGHAN A MOSTAFAVI MD
Surgery
1880 N CONGRESS AVE, SUITE# 301
BOYNTON BEACH, FL 33426
Palm Beach County (561) 424-5004
CARDIOLOGY SOLUTIONS LLC
Clinic/Center (Radiology)
1880 N CONGRESS AVE, STE 207
BOYNTON BEACH, FL 33426
Palm Beach County (561) 424-9968

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 Lorie Pistone's NPI number?

The NPI number for Lorie Pistone is 1356890834. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is Lorie Pistone located?

Lorie Pistone practices at 1880 N Congress Ave Ste 303A, Boynton Beach, FL 33426. The listed phone number is (561) 734-8111.

What is Lorie Pistone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lorie Pistone enrolled in Medicare?

Yes. Lorie Pistone 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 organization bills Medicare for Lorie Pistone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorie Pistone reassigns Medicare benefits to Maryland Medical Specialists Inc (Rockville, MD). The 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 Lorie Pistone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lorie Pistone was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.