DR. CHARLES TANNERT PINNEY JR. M.D.
NPI 1902819451
General Practice in Vancouver, WA

Active since August 15, 2006PECOS Enrolled
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(800) 813-2000 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2022, Jan 18, 2019 (2 updates tracked since 2019).

About Dr. Charles Tannert Pinney Jr. M.d. NPPES

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

DR. CHARLES TANNERT PINNEY JR. M.D. (NPI 1902819451) is an individual general practice provider in Vancouver, Washington, licensed in Washington (MD00035841) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902819451
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CHARLES TANNERT PINNEY JR.Credential: M.D.
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684-6055
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (503) 813-3850
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 17, 2022
✔ NPI 1902819451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00035841
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License OR MD 15755 (OR), MD00035841 (WA), WA MD00035841 (WA)
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License MD00035841 (WA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD00035841 (WA)
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684

Secondary Practice Locations 2

Location 13240 NE 3rd AveCamas, WA 98607-2408 · Phone (360) 838-2440 · Fax (360) 838-2450
Location 2415 SE 177th AveVancouver, WA 98683-4201 · Phone (360) 980-2441 · Fax (877) 491-4990

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Tannert Pinney Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Charles Pinney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
415 SE 177TH AVE
Vancouver, WA 98683
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group
General Practice
500 NE MULTNOMAH ST
Portland, OR 97232
  • Reassigned Medicare billing, Washington enrollment
  • 2,534 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$16.19 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.

Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Emergency Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Internal Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684

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 Charles Pinney's NPI number?

The NPI number for Charles Pinney is 1902819451. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Charles Pinney located?

Charles Pinney practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (800) 813-2000.

What is Charles Pinney's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charles Pinney enrolled in Medicare?

Yes. Charles Pinney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Pinney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Pinney reassigns Medicare benefits to 2 organizations: Mobile Healthcare Providers Northwest (Vancouver, WA) and Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Charles Pinney'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 Charles Pinney was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.