MAURICIO PINTO M.D.
NPI 1881860724
Family Medicine in Round Rock, TX

Q: What is Mauricio Pinto's NPI number?

The NPI number for Mauricio Pinto is 1881860724. It was assigned to this individual provider in the NPPES registry on April 30, 2008. The provider is also known as Mauricio Eduardo Pinto Sosa M.D..

Q: What is Mauricio Pinto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mauricio Pinto was last updated on June 3, 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.

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment

2400 ROUND ROCK AVE, ST. DAVID'S ROUND ROCK MEDICAL CENTER, ROUND ROCK, TX 78681(956) 607-0896(512) 341-5131 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, Feb 12, 2018, Dec 12, 2016 (3 updates tracked since 2016).

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About Mauricio Pinto M.d. NPPES

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

MAURICIO PINTO M.D. (NPI 1881860724) is an individual family medicine provider in Round Rock, Texas, licensed in Texas (P4799) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Conroe, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1881860724

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMAURICIO PINTOCredential: M.D.

Location Address2400 ROUND ROCK AVE, ST. DAVID'S ROUND ROCK MEDICAL CENTERRound Rock, TX 78681

Mailing Address2400 Round Rock Ave, St. David's Round Rock Medical CenterRound Rock, TX 78681 · (956) 607-0896 · Fax (512) 341-5131

Phone(956) 607-0896

Fax(512) 341-5131

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 30, 2008

Last NPPES UpdateJune 3, 20243 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1881860724 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 · P4799✔ Licensed in NM · MD2012-0532✔ Licensed in AZ · 72729✔ Licensed in CO · CDR.0003753

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 ListedHospitalistTaxonomy 208M00000X · License MD2012-0532 (NM), P4799 (TX)

2400 ROUND ROCK AVE, Round Rock, TX 78681

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Other Names 1

Other Name (5)Mauricio Eduardo Pinto Sosa M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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

Mauricio Pinto 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 ID8224286182

PECOS Enrollment IDI20130326000310, I20240524002321

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 7

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

227 services199 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

167 services77 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

65 services34 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

45 services41 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

26 services26 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450222

Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County

Emergency services Birthing friendly

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450330

Location1705 Jackson StRichmond, TX 77469 · Fort Bend County

Emergency services Birthing friendly

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450370

Location110 Shult DrColumbus, TX 78934 · Colorado County

Emergency services Birthing friendly

South Texas Spine And Surgical Hospital

Acute Care Hospitals · San Antonio, TX

OwnershipPhysician

CMS Certification Number450856

Location18600 North Hardy Oak BlvdSan Antonio, TX 78258 · Bexar County

Emergency services

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX

OwnershipGovernment - Local

CMS Certification Number451356

Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

97%243 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.

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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.

HARRY H JUNG III MD PA

Anesthesiology