JAMES L PINTO MD
NPI 1780898858
Obstetrics & Gynecology in Indianapolis, IN
About James L Pinto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES L PINTO MD (NPI 1780898858) is an individual obstetrics & gynecology provider in Indianapolis, Indiana, licensed in Indiana (01094172A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Rush Medical College Of Rush University (1983).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Accepted Insurance
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
James L Pinto 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.
Medicare Billing Reassignments
13Medicare enrollment records show James Pinto reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 510 clinicians in this Medicare group
Brazil, IN 47834
- Reassigned Medicare billing, Indiana enrollment
- 121 clinicians in this Medicare group
Terre Haute, IN 47807
- Reassigned Medicare billing, Indiana enrollment
- 306 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Oxford, NC 27565
- Reassigned Medicare billing, North Carolina enrollment
- 178 clinicians in this Medicare group
Sanford, NC 27330
- Reassigned Medicare billing, North Carolina enrollment
- 92 clinicians in this Medicare group
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 clinicians in this Medicare group
Bennettsville, SC 29512
- Reassigned Medicare billing, North Carolina enrollment
- 476 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
INDIANAPOLIS, IN 46260
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 James Pinto's NPI number?
The NPI number for James Pinto is 1780898858. It was assigned to this individual provider in the NPPES registry on May 9, 2007.
Where is James Pinto located?
James Pinto practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 338-2345.
What is James Pinto's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is James Pinto enrolled in Medicare?
Yes. James Pinto 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 James Pinto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Pinto reassigns Medicare benefits to 13 organizations: St Vincent Physician Services Hospital And Health Care Center (Indianapolis, IN), Union Hospital Inc (Brazil, IN), Union Associated Physicians Clinic, LLC (Terre Haute, IN), Osf Multi-Specialty Group (Peoria, IL), Rockford Health Physicians (Rockford, IL) and 8 more organizations, listed in the Medicare section above. 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 James Pinto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Pinto accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of North Carolina and 8 other insurers list James Pinto 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 James Pinto was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# James L Pinto, MD · NPI 1780898858
Obstetrics & Gynecology physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since May 9, 2007.
## Identity
- **NPI:** 1780898858 (Entity type: Individual)
- **Enumerated:** May 9, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 01094172A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 W 86TH ST, Indianapolis, IN 46260-1902
- **Phone:** (317) 338-2345
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): St Vincent Physician Services Hospital And Health Care Center (NPI 1669422234, Indianapolis, IN); Union Hospital Inc (NPI 1013087048, Brazil, IN); Union Associated Physicians Clinic, LLC (NPI 1891028379, Terre Haute, IN); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Rockford Health Physicians (NPI 1043242886, Rockford, IL); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 1983
## Record status
- **NPPES last updated:** July 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780898858) · Data from the CMS NPPES public registry.