ANDRES PINTO DMD
NPI 1437280583
Dentist - Oral and Maxillofacial Surgery in Cleveland, OH

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andres Pinto Dmd NPPES

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

ANDRES PINTO DMD (NPI 1437280583) is an individual oral and maxillofacial surgery provider in Cleveland, Ohio, licensed in Ohio (30-024004) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1437280583
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameANDRES PINTOCredential: DMD
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 368-2966 · Fax (216) 368-3627
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 8, 2007
Last NPPES UpdateDecember 27, 2021
✔ NPI 1437280583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in OH · 30-024004✔ Licensed in PA · DS031233
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License DN000685 (PA)
2500 METROHEALTH DR, Cleveland, OH 44109

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

Andres Pinto Dmd 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 ID1254392863
PECOS Enrollment IDI20131203001443
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 Reassignments

2

Medicare enrollment records show Andres Pinto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
Oral and Maxillofacial Surgery
9601 CHESTER AVE, SUITE 154
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 8 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 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 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.
76 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109

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 Andres Pinto's NPI number?

The NPI number for Andres Pinto is 1437280583. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Andres Pinto located?

Andres Pinto practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Andres Pinto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Andres Pinto enrolled in Medicare?

Yes. Andres Pinto 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 Andres Pinto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andres Pinto reassigns Medicare benefits to 2 organizations: The Metrohealth System (Cleveland, OH) and Case Dental Medicine Support Services, LLC. (Cleveland, OH). 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 Andres Pinto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andres Pinto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 12 other insurers list Andres Pinto 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 Andres Pinto affiliated with any hospitals?

According to CMS data, Andres Pinto is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Andres Pinto was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.