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DR. RICHARD JAMES PINELLI OD
NPI 1619077195
Optometrist - Sports Vision in Mifflintown, PA

Active since September 24, 2006PECOS EnrolledAccepts Medicare Assignment
23428 ROUTE 35 N, MIFFLINTOWN, PA 17059(717) 436-8806 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard James Pinelli Od NPPES

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

DR. RICHARD JAMES PINELLI OD (NPI 1619077195) is an individual sports vision provider in Mifflintown, Pennsylvania, licensed in Pennsylvania (0EG000702) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1982).

NPPES Registry Identity

NPI1619077195
Entity TypeIndividualMale
Primary Taxonomy152WS0006X
Provider Legal NameDR. RICHARD JAMES PINELLICredential: OD
Location Address23428 ROUTE 35 NMifflintown, PA 17059-7916
Mailing Address23428 Route 35 NMifflintown, PA 17059-7916 · (717) 436-8806
Phone(717) 436-8806
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1982
Enumeration DateSeptember 24, 2006
Last NPPES UpdateAugust 12, 2011
✔ NPI 1619077195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Sports VisionEye and Vision Services Providers
Taxonomy Code152WS0006X
License✔ Licensed in PA · 0EG000702
Definition
An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.
23428 ROUTE 35 N, Mifflintown, PA 17059
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Other Identifiers 4

Other562783PA · Blue Shield
Medicare UPINT87944PA
Medicare NSC0626460001PA
Medicare ID-Type Unspecified0626460001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee and more.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. Richard James Pinelli Od 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 ID3870635246
PECOS Enrollment IDI20100122000527
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

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 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.
61 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17059 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Richard Pinelli's NPI number?

The NPI number for Richard Pinelli is 1619077195. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Richard Pinelli located?

Richard Pinelli practices at 23428 Route 35 N, Mifflintown, PA 17059. The listed phone number is (717) 436-8806.

What is Richard Pinelli's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Sports Vision, with taxonomy code 152WS0006X.

Is Richard Pinelli enrolled in Medicare?

Yes. Richard Pinelli 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 Richard Pinelli accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Richard Pinelli 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.

When was this NPI record last updated?

The NPPES record for Richard Pinelli was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.