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MARIO A CRISTANCHO PIMIENTO MD
NPI 1407010143
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3535 MARKET STREET, 3RD FLOOR, PHILADELPHIA, PA 19104(215) 746-6700(215) 746-5155 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario A Cristancho Pimiento Md NPPES

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

MARIO A CRISTANCHO PIMIENTO MD (NPI 1407010143) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD443666) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1407010143
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARIO A CRISTANCHO PIMIENTOCredential: MD
Location Address3535 MARKET STREET, 3RD FLOORPhiladelphia, PA 19104-3309
Mailing Address3535 Market Street, 3rd FloorPhiladelphia, PA 19104-3309 · (215) 746-6700 · Fax (215) 746-5155
Phone(215) 746-6700
Fax(215) 746-5155
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 11, 2008
Last NPPES UpdateJune 5, 2012
✔ NPI 1407010143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in PA · MD443666✔ Licensed in PA · MT193855
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT193855 (PA)
3535 MARKET STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mario A Cristancho Pimiento 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 ID6608030010
PECOS Enrollment IDI20120615000155
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 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.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868
This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.
414 services19 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.
178 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services36 patients
Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
92 services22 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.
45 services22 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Clinic/Center (Primary Care)
3535 MARKET STREET, MEZZANINE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (214) 746-4110
DR. KRISTIN L LEIGHT MD
Psychiatry & Neurology (Psychiatry)
3535 MARKET STREET, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7119
DR. CARMEN MCLEAN PHD
Psychologist
3535 MARKET STREET, 7TH FLOOR, SUITE 741
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2816
JOEL E STREIM MD
Psychiatry & Neurology (Geriatric Psychiatry)
3535 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
KATELYN R KENNEDY LCSW
Social Worker (Clinical)
3535 MARKET STREET, MEZZANINE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 764-4100
KEVIN SCOTT MCCARTHY PHD
Psychologist (Clinical)
3535 MARKET STREET, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
RAYMOND CARVAJAL PSYD
Psychologist
3535 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7183
PATRICK L FARRELL
Counselor (Mental Health)
3535 MARKET STREET
PHILADELPHIA, PA 19104
Philadelphia County (800) 789-7366

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 Mario Cristancho Pimiento's NPI number?

The NPI number for Mario Cristancho Pimiento is 1407010143. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Mario Cristancho Pimiento located?

Mario Cristancho Pimiento practices at 3535 Market Street 3rd Floor, Philadelphia, PA 19104. The listed phone number is (215) 746-6700.

What is Mario Cristancho Pimiento's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mario Cristancho Pimiento enrolled in Medicare?

Yes. Mario Cristancho Pimiento 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 Mario Cristancho Pimiento accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mario Cristancho Pimiento 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 Mario Cristancho Pimiento affiliated with any hospitals?

According to CMS data, Mario Cristancho Pimiento is affiliated with Hospital Of Univ Of Pennsylvania and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Mario Cristancho Pimiento was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.