MARCELA IVETTE PINEDA MOLINA MD
NPI 1528477379
Obstetrics & Gynecology in Red Oak, IA

Active since August 06, 2014PECOS EnrolledAccepts Medicare Assignment
76.83/100
CMS Quality Rating
1400 SENATE AVE STE 102, RED OAK, IA 51566(712) 623-6335(712) 623-3755 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcela Ivette Pineda Molina Md NPPES

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

MARCELA IVETTE PINEDA MOLINA MD (NPI 1528477379) is an individual obstetrics & gynecology provider in Red Oak, Iowa, licensed in Iowa (MD-44802) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Cass County Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1528477379
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARCELA IVETTE PINEDA MOLINACredential: MD
Location Address1400 SENATE AVE STE 102Red Oak, IA 51566
Mailing Address2301 Eastern AveRed Oak, IA 51566-1305 · (712) 623-6335 · Fax (712) 623-3755
Fax(712) 623-3755
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2014
Last NPPES UpdateAugust 14, 2018
NPI 1528477379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IA · MD-44802
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1400 SENATE AVE STE 102, Red Oak, IA 51566

Accepted 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

Marcela Ivette Pineda Molina 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 ID446508030
PECOS Enrollment IDI20180730000461, I20251007003133
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 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.
60 services37 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.
18 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161376
Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51566 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

76.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Improvement Activities40
Cost44.61

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Obstetrics & Gynecology)
1400 SENATE AVE STE 102
RED OAK, IA 51566

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 Marcela Ivette Pineda Molina's NPI number?

The NPI number for Marcela Ivette Pineda Molina is 1528477379. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Marcela Ivette Pineda Molina located?

Marcela Ivette Pineda Molina practices at 1400 Senate Ave Ste 102, Red Oak, IA 51566. The listed phone number is (712) 623-6335.

What is Marcela Ivette Pineda Molina's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marcela Ivette Pineda Molina enrolled in Medicare?

Yes. Marcela Ivette Pineda Molina 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 Marcela Ivette Pineda Molina accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Marcela Ivette Pineda Molina 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 Marcela Ivette Pineda Molina affiliated with any hospitals?

According to CMS data, Marcela Ivette Pineda Molina is affiliated with Cass County Memorial Hospital, The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Marcela Ivette Pineda Molina was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.