DR. ROBERTO PINEDA II MD
NPI 1508856055
Ophthalmology in Boston, MA

Q: What is Roberto Pineda's NPI number?

The NPI number for Roberto Pineda is 1508856055. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Q: What is Roberto Pineda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Pineda was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment

243 CHARLES ST, MASSACHUSETTS EYE AND EAR INFIRMARY, BOSTON, MA 02114(617) 573-3529(617) 573-4300 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Roberto Pineda Ii Md NPPES

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

DR. ROBERTO PINEDA II MD (NPI 1508856055) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (75897) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of University Of Minnesota Medical School (1990).

NPPES Registry Identity

NPI1508856055

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. ROBERTO PINEDA IICredential: MD

Location Address243 CHARLES ST, MASSACHUSETTS EYE AND EAR INFIRMARYBoston, MA 02114-3002

Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894

Phone(617) 573-3529

Fax(617) 573-4300

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1990

Enumeration DateOctober 26, 2005

Last NPPES UpdateJune 18, 2013

✔ NPI 1508856055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MA · 75897

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

243 CHARLES ST, Boston, MA 02114

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Other Identifiers 4

Medicare ID-Type UnspecifiedJ80430MA

Other075897MA · Tufts Health Plan

Medicare UPINF78739

Medicaid3122123MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Roberto Pineda Ii 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 ID3971534835

PECOS Enrollment IDI20050830000915

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 17

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.

478 services270 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

321 services303 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

212 services175 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

208 services79 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

87 services81 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

79 services79 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

76 services49 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

61 services48 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

60 services55 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

54 services54 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

35 services28 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

35 services29 patients

Imaging of front third of eye 92132

Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.

34 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.

24 services24 patients

Exchange of prosthetic lens 66986

An exchange of a prosthetic lens involves replacing an artificial lens in your eye. This is often done if the current lens isn't functioning properly or causing discomfort. The procedure involves removing the old lens and inserting a new one, aiming to improve your vision.

19 services19 patients

Repositioning of lens prosthesis 66825

Repositioning of lens prosthesis is a procedure to adjust an artificial lens in your eye. This is often necessary if the lens has moved from its original place after cataract surgery or due to other eye conditions. The goal is to improve your vision.

14 services13 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220075

Location243 Charles StreetBoston, MA 02114 · Suffolk County

Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

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.

CARLA PETERSEN AU.D., CCC-A

Audiologist

243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114

Suffolk County (617) 573-3266

DR. SULEMAN IMRAN KHAN MD

Ophthalmology

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-4443

DR. RYAN CARLSON MD PHD

Student in an Organized Health Care Education/Training Program

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 523-7900

MASSACHUSETTS EYE AND EAR INFIRMARY

Eyewear Supplier

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3182

DANIEL ROBERT LEFEBVRE M.D.

Ophthalmology

243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114

Suffolk County (617) 523-7900

ELLIOTT D. KOZIN MD

Otolaryngology

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-6545

DR. LUCIA K SOMBERG MD, MPH

Emergency Medicine

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3431

MS. JANET ENGLISH HUETTIG LICSW

Social Worker (Clinical)

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3548

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 Roberto Pineda's NPI number?

The NPI number for Roberto Pineda is 1508856055. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Roberto Pineda located?

Roberto Pineda practices at 243 Charles St Massachusetts Eye And Ear Infirmary, Boston, MA 02114. The listed phone number is (617) 573-3529.

What is Roberto Pineda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Roberto Pineda enrolled in Medicare?

Yes. Roberto 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 Roberto Pineda accept?

Health plans from Anthem Blue Cross and Blue Shield list Roberto 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 Roberto Pineda affiliated with any hospitals?

According to CMS data, Roberto Pineda is affiliated with Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary -, Beth Israel Deaconess Medical Center and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Roberto Pineda was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.