Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANTONIO PINERO-PILONA M.D.
NPI 1720082068
Internal Medicine - Endocrinology, Diabetes & Metabolism in Hudson, FL

Active since June 01, 2005PECOS Enrolled
95.33/100
CMS Quality Rating
14100 FIVAY RD, STE 250, HUDSON, FL 34667(727) 869-7822(727) 862-0934 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Antonio Pinero-pilona M.d. NPPES

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

DR. ANTONIO PINERO-PILONA M.D. (NPI 1720082068) is an individual endocrinology, diabetes & metabolism provider in Hudson, Florida, licensed in Florida (ME0082526) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1995).

NPPES Registry Identity

NPI1720082068
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ANTONIO PINERO-PILONACredential: M.D.
Location Address14100 FIVAY RD, STE 250Hudson, FL 34667-7151
Mailing Address14100 Fivay Rd, Ste 250Hudson, FL 34667-7151 · (727) 869-7822 · Fax (727) 862-0934
Fax(727) 862-0934
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1995
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1720082068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in FL · ME0082526
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
14100 FIVAY RD, Hudson, FL 34667

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

Dr. Antonio Pinero-pilona 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 ID547281123
PECOS Enrollment IDI20051210000015
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 13

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,940 services29 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.
819 services461 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
639 services325 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
219 services209 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
181 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
154 services110 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34667 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

95.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.52
Promoting Interoperability90
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
84%324 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%145 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,128 patients4/55-star benchmark: 100%
e-Prescribing
98%5,498 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%569 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%595 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 522 patients
Patients screened: 96% · 522 patients
79%29 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%2,087 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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers52 claims672 services$18.24 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers53 claims1,649 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
66 suppliers258 claims1,082 services$6.36 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
9 suppliers29 claims29 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers14 claims14 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
38 suppliers101 claims194 services$1.11 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 20

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

Physical Therapist
14100 FIVAY RD
HUDSON, FL 34667
Internal Medicine (Clinical Cardiac Electrophysiology)
14100 FIVAY RD, SUITE 310
HUDSON, FL 34667
Internal Medicine (Endocrinology, Diabetes & Metabolism)
14100 FIVAY RD, SUITE 250
HUDSON, FL 34667
Internal Medicine
14100 FIVAY RD, SUITE 100
HUDSON, FL 34667
Surgery
14100 FIVAY RD, SUITE 130
HUDSON, FL 34667
Specialist
14100 FIVAY RD, SUITE 120
HUDSON, FL 34667
Durable Medical Equipment & Medical Supplies
14100 FIVAY RD, SUITE 170
HUDSON, FL 34667
Speech-Language Pathologist
14100 FIVAY RD, SUITE 210
HUDSON, FL 34667

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 Antonio Pinero-pilona's NPI number?

The NPI number for Antonio Pinero-pilona is 1720082068. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Antonio Pinero-pilona located?

Antonio Pinero-pilona practices at 14100 Fivay Rd Ste 250, Hudson, FL 34667. The listed phone number is (727) 869-7822.

What is Antonio Pinero-pilona's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Antonio Pinero-pilona enrolled in Medicare?

Yes. Antonio Pinero-pilona 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 Antonio Pinero-pilona accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Antonio Pinero-pilona 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 Antonio Pinero-pilona affiliated with any hospitals?

According to CMS data, Antonio Pinero-pilona is affiliated with St Josephs Hospital, Morton Plant Hospital and Hca Florida Bayonet Point Hospital.

When was this NPI record last updated?

The NPPES record for Antonio Pinero-pilona was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.