DR. JOSEPH PISTONE MD
NPI 1831189836
Family Medicine in Tyler, TX

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
5414 S BROADWAY AVE, TYLER, TX 75703(903) 581-1601 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2016, Feb 19, 2016, Jan 20, 2016 (3 updates tracked since 2016).

About Dr. Joseph Pistone Md NPPES

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

DR. JOSEPH PISTONE MD (NPI 1831189836) is an individual family medicine provider in Tyler, Texas, licensed in Texas (L2554) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1998).

NPPES Registry Identity

NPI1831189836
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH PISTONECredential: MD
Location Address5414 S BROADWAY AVETyler, TX 75703-1335
Mailing AddressPo Box 841656Dallas, TX 75284-1656 · (903) 531-5000
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1998
Enumeration DateOctober 21, 2005
Last NPPES UpdateJune 15, 20163 updates tracked since enumeration
NPI 1831189836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · L2554 Licensed in LA · MD.024374
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License L2554 (TX)
5414 S BROADWAY AVE, Tyler, TX 75703

Other Identifiers 12

Other8FR384TX · Bcbs
Other8FR383TX · Bcbs
OtherP01609937TX · Rail Road Medicare
Other752616977028TX · Tricare
Medicare UPINH31157TX
OtherP01608452TX · Rail Road Medicare
Medicare PIN472466YMAFTX
Other75-0818167-022TX · Tricare
Medicare PIN438539YNSXTX
Other752616977001TX · Tricare
Other752616977002TX · Tricare
Medicaid149382701TX

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. Joseph Pistone 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.

PECOS PAC ID9739203027
PECOS Enrollment IDI20150929002020
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 12

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.
148 services143 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
139 services136 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
70 services69 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services51 patients
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.
45 services43 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Family Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant (Medical)
5414 S BROADWAY AVE
TYLER, TX 75703
Nurse Practitioner (Family)
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Emergency Medicine
5414 S BROADWAY AVE
TYLER, TX 75703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831189836, enumerated as an "individual" on October 21, 2005.

The provider is located at 5414 S BROADWAY AVE TYLER, TX 75703 and the phone number is (903) 581-1601.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.