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

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, maintains 2 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (1981).

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
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1981
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Tannert Pinney Jr. 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 ID2163511809
PECOS Enrollment IDI20160204000471
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.

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
Student in an Organized Health Care Education/Training Program
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
Social Worker (Clinical)
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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 3 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.