DR. TONY E PINSON M.D.
NPI 1497764104
Urology in Montgomery, AL

Q: What is Tony Pinson's NPI number?

The NPI number for Tony Pinson is 1497764104. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Tony Pinson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Tony Pinson was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment

470 TAYLOR RD STE 201, MONTGOMERY, AL 36117(334) 613-7070(334) 747-9730 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Jul 24, 2020, Jun 13, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Tony E Pinson M.d. NPPES

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

DR. TONY E PINSON M.D. (NPI 1497764104) is an individual urology provider in Montgomery, Alabama, licensed in Alabama (MD.38214) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497764104

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. TONY E PINSONCredential: M.D.

Location Address470 TAYLOR RD STE 201Montgomery, AL 36117-3532

Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 273-4159 · Fax (334) 273-4556

Phone(334) 613-7070

Fax(334) 747-9730

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateAugust 5, 2006

Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1497764104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in AL · MD.38214✔ Licensed in FL · ME174489✔ Licensed in MI · 4301063259

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

470 TAYLOR RD STE 201, Montgomery, AL 36117

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Secondary Practice Locations 2

Location 1744 W Michigan Ave Ste 300Jackson, MI 49201-1900 · Phone (517) 205-2146

Location 21921 Waldemere St Ste 310Sarasota, FL 34239-2941 · Phone (941) 917-5400 · Fax (941) 917-5420

Other Identifiers 2

Other3403801072MI · Blue Cross Blue Shield

Medicaid3064469-10MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Care Network of Michigan and more.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

Dr. Tony E Pinson M.d. 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 ID2860491487

PECOS Enrollment IDI20061208000440, I20191022003411, I20251118001135

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

Medicare enrollment records show Tony Pinson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs

Same address

Urology

470 TAYLOR RD, SUITE 202
Montgomery, AL 36117

Reassigned Medicare billing, Alabama enrollment
439 clinicians in this Medicare group

NPI 1013287648 (334) 213-5872

Smh Physician Services Inc

411 mi

Internal Medicine

1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
956 clinicians in this Medicare group

NPI 1346295292 (941) 917-8720

Novant Health Medical Group Coastal Region, LLC

453 mi

Hematology & Oncology

75 EMERSON BAY RD STE 104
Carolina Shores, NC 28467

Reassigned Medicare billing, North Carolina enrollment
710 clinicians in this Medicare group

NPI 1801565684 (910) 667-4283

Lakeland Medical Practices

652 mi

Audiologist

42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120

Reassigned Medicare billing, Michigan enrollment
724 clinicians in this Medicare group

NPI 1134898505 (269) 687-2910

Wa Foote Memorial Hospital Inc.

688 mi

Dietitian, Registered

205 N EAST AVE
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: W.A. Foote Memorial Hospital
474 clinicians in this Medicare group

NPI 1073955050 (517) 841-7878

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 19

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

260 services195 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

240 services178 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.

225 services168 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.

183 services133 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

59 services46 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

56 services53 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

44 services38 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

41 services29 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.

39 services24 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.

36 services36 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

30 services25 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

30 services25 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

11 services11 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

11 services11 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

11 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230092

Location205 N East AveJackson, MI 49201 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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 2

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

DENYS HARTLEY APRN, FNP-C

Nurse Practitioner (Family)

470 TAYLOR RD STE 201
MONTGOMERY, AL 36117

Montgomery County (334) 747-9720

JOSHUA CROCKER WAITS M.D.

Urology

470 TAYLOR RD STE 201
MONTGOMERY, AL 36117

Montgomery County (334) 747-9720

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 Tony Pinson's NPI number?

The NPI number for Tony Pinson is 1497764104. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Tony Pinson located?

Tony Pinson practices at 470 Taylor Rd Ste 201, Montgomery, AL 36117. The listed phone number is (334) 613-7070.

What is Tony Pinson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tony Pinson enrolled in Medicare?

Yes. Tony Pinson 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 Tony Pinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Pinson reassigns Medicare benefits to 5 organizations: The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL), Smh Physician Services Inc (Sarasota, FL), Novant Health Medical Group Coastal Region, LLC (Carolina Shores, NC), Lakeland Medical Practices (Niles, MI) and Wa Foote Memorial Hospital Inc. (Jackson, MI). 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 Tony Pinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Pinson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Alabama and 4 other insurers list Tony Pinson 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 Tony Pinson affiliated with any hospitals?

According to CMS data, Tony Pinson is affiliated with Sarasota Memorial Hospital and Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Tony Pinson was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.