DR. WILLIAM LOUIS PISTEL D.O.
NPI 1518979418
Orthopaedic Surgery in Modesto, CA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
33.51/100
CMS Quality Rating
609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350(209) 572-3224(209) 572-4528 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William Louis Pistel D.o. NPPES

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

DR. WILLIAM LOUIS PISTEL D.O. (NPI 1518979418) is an individual orthopaedic surgery provider in Modesto, California, licensed in California (20A7594) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1991).

NPPES Registry Identity

NPI1518979418
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. WILLIAM LOUIS PISTELCredential: D.O.
Location Address609 E ORANGEBURG AVE, SUITE 201Modesto, CA 95350-5580
Mailing Address609 E Orangeburg Ave, Suite 201Modesto, CA 95350-5580 · (209) 572-3224 · Fax (209) 572-4528
Fax(209) 572-4528
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1991
Enumeration DateAugust 12, 2006
Last NPPES UpdateMarch 21, 2013
NPI 1518979418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · 20A7594
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 20A7594 (CA)
609 E ORANGEBURG AVE, Modesto, CA 95350

Other Identifiers 4

Medicare PINCQ398ZCA
Medicare ID-Type Unspecified020A7594CA
Medicaid020A7594CA
Medicare UPING45200CA

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. William Louis Pistel D.o. 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 ID5092762468
PECOS Enrollment IDI20050407000421
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,849 services131 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.
399 services254 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
234 services138 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
112 services86 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.
110 services97 patients
X-ray of shoulder, 1 view 73020
An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.
76 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

33.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost75.04

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers15 claims15 services$43.39 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers16 claims16 services$108.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Orthopaedic Surgery
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Technician, Other
609 E ORANGEBURG AVE
MODESTO, CA 95350
Orthopaedic Surgery (Sports Medicine)
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Dermatology (Procedural Dermatology)
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Specialist
609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350
Physical Therapist
609 E ORANGEBURG AVE, 101
MODESTO, CA 95350
Prosthetic/Orthotic Supplier
609 E ORANGEBURG AVE, SUITE 102
MODESTO, CA 95350

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 William Pistel's NPI number?

The NPI number for William Pistel is 1518979418. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is William Pistel located?

William Pistel practices at 609 E Orangeburg Ave Suite 201, Modesto, CA 95350. The listed phone number is (209) 572-3224.

What is William Pistel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is William Pistel enrolled in Medicare?

Yes. William Pistel 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.

When was this NPI record last updated?

The NPPES record for William Pistel was last updated on March 21, 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.