DR. RAYMUND O PINEDA M.D.
NPI 1841262789
Internal Medicine - Pulmonary Disease in Marion, IL

Q: What is Raymund Pineda's NPI number?

The NPI number for Raymund Pineda is 1841262789. It was assigned to this individual provider in the NPPES registry on February 5, 2006.

Q: What is Raymund Pineda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Raymund Pineda was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since February 05, 2006PECOS EnrolledAccepts Medicare Assignment

2401 W MAIN ST, MARION, IL 62959(618) 997-5311 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Sep 27, 2021, Jan 29, 2021 and 2 more (5 updates tracked since 2019).

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About Dr. Raymund O Pineda M.d. NPPES

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

DR. RAYMUND O PINEDA M.D. (NPI 1841262789) is an individual pulmonary disease provider in Marion, Illinois, licensed in Illinois (036103774) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841262789

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RAYMUND O PINEDACredential: M.D.

Location Address2401 W MAIN STMarion, IL 62959-1188

Mailing Address2401 W Main StMarion, IL 62959-1188 · (618) 997-5311

Phone(618) 997-5311

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateFebruary 5, 2006

Last NPPES UpdateSeptember 23, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1841262789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in IL · 036103774

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2401 W MAIN ST, Marion, IL 62959

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Secondary Practice Locations 2

Location 13309 Logan DrHerrin, IL 62948-3732 · Phone (618) 997-5350 · Fax (618) 997-5137

Location 2502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968 · Phone (618) 937-3400 · Fax (618) 997-9324

Other Identifiers 3

Other036103774IL · Marion Va Medical Center

Medicaid036103774IL

Other2005004444MO · Medical License

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. Raymund O Pineda 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 ID5698867034

PECOS Enrollment IDI20101213000711

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 10

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

110 services39 patients

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.

101 services85 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

72 services72 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

71 services71 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

71 services71 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.

59 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140184

Location3333 W DeyoungMarion, IL 62959 · Williamson County

Emergency services

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL

OwnershipProprietary

CMS Certification Number140294

Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County

Emergency services

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141307

Location5383 State Route 154Pinckneyville, IL 62274 · Perry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 23

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers20 claims39 services$1.49 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers20 claims20 services$17.46 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers13 claims13 services$102.34 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers12 claims12 services$21.59 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers21 claims105 services$2.53 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers101 claims102 services$17.47 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers20 claims20 services$40.80 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier18 claims18 services$921.79 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers78 claims78 services$905.92 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers11 claims11 services$775.44 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers13 claims13 services$15.36 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers114 claims114 services$6.48 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

14 suppliers831 claims832 services$98.92 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers403 claims403 services$33.96 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

9 suppliers91 claims5,460 services$4.82 avg. paid by Medicare

Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram J7608

DME-Drugs Administered Through DME · category DG000N

3 suppliers18 claims504 services$4.01 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

24 suppliers160 claims33,218 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

15 suppliers105 claims8,970 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

11 suppliers118 claims6,426 services$0.80 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier15 claims840 services$0.15 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

5 suppliers19 claims99,750 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers98 claims98 services$33.51 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

34 suppliers314 claims314 services$24.33 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.

MICHELE A OTTO RN

Registered Nurse