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MADISON PILATO
NPI 1932593860
Psychiatry & Neurology - Neurology in Pittsburgh, PA

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3471 5TH AVE STE 811, SUITE 810 LKB, PITTSBURGH, PA 15213(412) 692-4920 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Mar 24, 2020 (2 updates tracked since 2020).

About Madison Pilato NPPES

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

MADISON PILATO (NPI 1932593860) is an individual neurology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (62479) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2015).

NPPES Registry Identity

NPI1932593860
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMADISON PILATO
Location Address3471 5TH AVE STE 811, SUITE 810 LKBPittsburgh, PA 15213-3232
Mailing Address2915 Shady Ave, Suite 810 LkbPittsburgh, PA 15217-2742
Phone(412) 692-4920
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2015
Enumeration DateMarch 28, 2015
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
✔ NPI 1932593860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · 62479
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3471 5TH AVE STE 811, Pittsburgh, PA 15213
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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

Madison Pilato 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 ID5294158226
PECOS Enrollment IDI20200709002926
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services12 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

JOHN PAUL BIELANIN
Student in an Organized Health Care Education/Training Program
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
STEPHANIE ALLIEN P.A.
Physician Assistant
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
RAHIWA ZEFERTSION GEBRE MD
Psychiatry & Neurology (Epilepsy)
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
MATTHEW N/A KUNAS MD
Student in an Organized Health Care Education/Training Program
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
DR. KARL KAMANOUSA MD
Student in an Organized Health Care Education/Training Program
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
NIKHIL VJ MD
Student in an Organized Health Care Education/Training Program
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920
SYDNEY VICTORIA PALKA MD
Student in an Organized Health Care Education/Training Program
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 648-2022
YI LI MD
Psychiatry & Neurology (Neurology)
3471 5TH AVE STE 811
PITTSBURGH, PA 15213
Allegheny County (412) 692-4920

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 Madison Pilato's NPI number?

The NPI number for Madison Pilato is 1932593860. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Madison Pilato located?

Madison Pilato practices at 3471 5th Ave Ste 811 Suite 810 Lkb, Pittsburgh, PA 15213. The listed phone number is (412) 692-4920.

What is Madison Pilato's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Madison Pilato enrolled in Medicare?

Yes. Madison Pilato 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.

Is Madison Pilato affiliated with any hospitals?

According to CMS data, Madison Pilato is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Madison Pilato was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.