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TOMAS QUIAMBAO PINEDA,JR. M.D.
NPI 1649209826
Family Medicine in Fort Payne, AL

Active since July 01, 2006PECOS Enrolled
1105 CEDARWOOD DR SW, FORT PAYNE, AL 35968(256) 845-5448(256) 845-5467 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tomas Quiambao Pineda,jr. M.d. NPPES

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

TOMAS QUIAMBAO PINEDA,JR. M.D. (NPI 1649209826) is an individual family medicine provider in Fort Payne, Alabama, licensed in Alabama (10696) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649209826
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOMAS QUIAMBAO PINEDA,JR.Credential: M.D.
Location Address1105 CEDARWOOD DR SWFort Payne, AL 35968-3613
Mailing Address1105 Cedarwood Dr SwFort Payne, AL 35968-3613 · (256) 845-5448 · Fax (256) 845-5467
Phone(256) 845-5448
Fax(256) 845-5467
Sole ProprietorYes
Enumeration DateJuly 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649209826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 10696
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1105 CEDARWOOD DR SW, Fort Payne, AL 35968
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tomas Quiambao Pineda,jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.
40 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35968 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%59 patients4/55-star benchmark: 100%
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.

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 Tomas Pineda,jr.'s NPI number?

The NPI number for Tomas Pineda,jr. is 1649209826. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Tomas Pineda,jr. located?

Tomas Pineda,jr. practices at 1105 Cedarwood Dr SW, Fort Payne, AL 35968. The listed phone number is (256) 845-5448.

What is Tomas Pineda,jr.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tomas Pineda,jr. enrolled in Medicare?

Yes. Tomas Pineda,jr. is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tomas Pineda,jr. was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.