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DR. GERSON O PINEDA MD
NPI 1497017727
Surgery in Frisco, TX

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
12530 LEBANON RD STE 205, FRISCO, TX 75035(214) 269-5353(214) 269-5354 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Sep 20, 2022, Jun 4, 2020 and 6 more (9 updates tracked since 2017).

About Dr. Gerson O Pineda Md NPPES

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

DR. GERSON O PINEDA MD (NPI 1497017727) is an individual surgery provider in Frisco, Texas, licensed in Texas (R2200) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Uptown, and is a graduate of University Of Texas Medical School At San Antonio (2012).

NPPES Registry Identity

NPI1497017727
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GERSON O PINEDACredential: MD
Location Address12530 LEBANON RD STE 205Frisco, TX 75035-9473
Mailing Address12530 Lebanon Rd Ste 205Frisco, TX 75035-9473 · (214) 269-5353 · Fax (214) 269-5354
Phone(214) 269-5353
Fax(214) 269-5354
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2012
Enumeration DateJune 12, 2012
Last NPPES UpdateMarch 30, 20269 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1497017727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · R2200
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12530 LEBANON RD STE 205, Frisco, TX 75035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.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

Dr. Gerson O Pineda 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 ID8820368236
PECOS Enrollment IDI20170718001735
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services113 patients
Fusion of lower spine bone through abdomen with partial removal of disc 22558
This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
110 services109 patients
Fusion of spine bones through front of body with partial removal of disc, each additional disc 22585
This procedure involves merging spine bones via the front of the body. A portion of each additional disc is removed to ease pressure and discomfort. This helps to stabilize the spine and improve mobility.
75 services61 patients
Release of scar tissue at ureter 50715
This procedure involves removing scar tissue from a tube in your body that carries liquid waste from your kidneys to your bladder. Scar tissue can block this tube, causing discomfort and health issues. The goal is to restore normal function and alleviate any symptoms.
68 services68 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.
22 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott And White Medical Center Uptown

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450422
Location2727 East Lemmon Avenue Building IDallas, TX 75204 · Dallas County
Emergency services

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Center For Diagnostics & Surgery

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450891
Location6020 W Parker RoadPlano, TX 75093 · Collin County
Emergency services

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670049
Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

DONALD N REED JR, MD PLLC
Surgery (Trauma Surgery)
12530 LEBANON RD STE 205
FRISCO, TX 75035
Collin County (214) 269-5353
JMS SURGICAL PLLC
Surgery
12530 LEBANON RD STE 205
FRISCO, TX 75035
Collin County (214) 269-5353
SPINAL ACCESS SURGEONS OF TEXAS
Surgery
12530 LEBANON RD STE 205
FRISCO, TX 75035
Collin County (214) 269-5353

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 Gerson Pineda's NPI number?

The NPI number for Gerson Pineda is 1497017727. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Gerson Pineda located?

Gerson Pineda practices at 12530 Lebanon Rd Ste 205, Frisco, TX 75035. The listed phone number is (214) 269-5353.

What is Gerson Pineda's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gerson Pineda enrolled in Medicare?

Yes. Gerson Pineda 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 Gerson Pineda accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Gerson Pineda 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 Gerson Pineda affiliated with any hospitals?

According to CMS data, Gerson Pineda is affiliated with Baylor Scott And White Medical Center Uptown, Medical City Dallas Hospital, Medical City Plano, Texas Health Center For Diagnostics & Surgery and North Central Surgical Center LLP.

When was this NPI record last updated?

The NPPES record for Gerson Pineda was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.