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MR. MARK ANTHONY PINTO MD
NPI 1801882360
Internal Medicine in Fresno, CA

Active since September 21, 2005PECOS Enrolled
807 N VAN NESS AVE, FRESNO, CA 93728(559) 499-1233(559) 439-5421 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Apr 16, 2021, Sep 28, 2016 and 1 more (4 updates tracked since 2016).

About Mr. Mark Anthony Pinto Md NPPES

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

MR. MARK ANTHONY PINTO MD (NPI 1801882360) is an individual internal medicine provider in Fresno, California, licensed in California (A70500) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1998).

NPPES Registry Identity

NPI1801882360
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. MARK ANTHONY PINTOCredential: MD
Location Address807 N VAN NESS AVEFresno, CA 93728-3425
Mailing Address233 W Quincy AveFresno, CA 93711-6045 · (559) 313-6877 · Fax (559) 478-8000
Phone(559) 499-1233
Fax(559) 439-5421
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1998
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJune 5, 20244 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1801882360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A70500
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.
807 N VAN NESS AVE, Fresno, CA 93728
Open in Google Maps ↗

Other Identifiers 4

Other00A705000CA · Blue Cross
Other00A705000CA · Delta
Other00A705006CA · Medicare Ptan
Other00A705000CA · Blue Shield Of California

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark Anthony Pinto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426024894
PECOS Enrollment IDI20040907001267
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 Mark Pinto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Fresno Health Organization, Inc.
4.0 mi
Exclusive Provider Organization
4929 E KINGS CANYON RD
Fresno, CA 93727
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1265521488 (559) 255-6476
Valley Health Team Inc.
5.2 mi
Federally Qualified Health Center (FQHC)
4711 W ASHLAN AVE
Fresno, CA 93722
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1992183669 (559) 693-2462

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

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93728 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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
17 suppliers58 claims108 services$5.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers19 claims25 services$0.88 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
4 suppliers28 claims28 services$197.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Pinto's NPI number?

The NPI number for Mark Pinto is 1801882360. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Mark Pinto located?

Mark Pinto practices at 807 N Van Ness Ave, Fresno, CA 93728. The listed phone number is (559) 499-1233.

What is Mark Pinto's specialty?

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

Is Mark Pinto enrolled in Medicare?

Yes. Mark Pinto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Pinto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Pinto reassigns Medicare benefits to 2 organizations: Greater Fresno Health Organization, Inc. (Fresno, CA) and Valley Health Team Inc. (Fresno, CA). 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 Mark Pinto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Pinto was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.