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DR. NONATO ESPIRITU PINEDA M.D.
NPI 1548229891
Internal Medicine in Lakehurst, NJ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
681 ROUTE 70, LAKEHURST, NJ 08733(732) 657-8111(732) 657-7828 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2016, May 19, 2016 (2 updates tracked since 2016).

About Dr. Nonato Espiritu Pineda M.d. NPPES

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

DR. NONATO ESPIRITU PINEDA M.D. (NPI 1548229891) is an individual internal medicine provider in Lakehurst, New Jersey, licensed in New Jersey (MA064187) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1548229891
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NONATO ESPIRITU PINEDACredential: M.D.
Location Address681 ROUTE 70Lakehurst, NJ 08733-2853
Mailing Address681 Route 70Lakehurst, NJ 08733-2853 · (732) 657-8111 · Fax (732) 657-7828
Phone(732) 657-8111
Fax(732) 657-7828
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 21, 20162 updates tracked since enumeration
✔ NPI 1548229891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA064187
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
681 ROUTE 70, Lakehurst, NJ 08733
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Other Identifiers 2

Medicare ID-Type Unspecified891337NJ
Medicare UPING35423NJ

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. Nonato Espiritu Pineda 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 ID9830089671
PECOS Enrollment IDI20050621000333
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

2

Medicare enrollment records show Nonato Pineda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comsti Deperio Pineda And Associates LLC
0.8 mi
Internal Medicine
681 ROUTE 70
Lakehurst, NJ 08733
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1417058520 (732) 657-8111
Neptune Internal Medicine, LLC
19 mi
Internal Medicine
3456 W BANGS AVE
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1659583706 (732) 922-1122

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 8

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.
189 services119 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
145 services18 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.
137 services109 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
90 services90 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
87 services11 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
85 services85 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08733 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%939 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
66%64 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%577 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%577 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%577 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers28 claims74 services$4.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims13 services$0.61 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers33 claims33 services$189.34 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 2

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

COMSTI DEPERIO PINEDA AND ASSOCIATES LLC
Internal Medicine
681 ROUTE 70
LAKEHURST, NJ 08733
Ocean County (732) 657-8111
DR. ERIC ABARY COMSTI MD
Internal Medicine
681 ROUTE 70
LAKEHURST, NJ 08733
Ocean County (732) 657-8111

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 Nonato Pineda's NPI number?

The NPI number for Nonato Pineda is 1548229891. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Nonato Pineda located?

Nonato Pineda practices at 681 Route 70, Lakehurst, NJ 08733. The listed phone number is (732) 657-8111.

What is Nonato Pineda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nonato Pineda enrolled in Medicare?

Yes. Nonato 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.

Which organizations bill Medicare for Nonato Pineda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nonato Pineda reassigns Medicare benefits to 2 organizations: Comsti Deperio Pineda And Associates LLC (Lakehurst, NJ) and Neptune Internal Medicine, LLC (Neptune, NJ). 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 Nonato Pineda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nonato Pineda affiliated with any hospitals?

According to CMS data, Nonato Pineda is affiliated with Community Medical Center and Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Nonato Pineda was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.