DAVID PILLINGER M.D.
NPI 1972704617
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rochester, NY

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
85.12/100
CMS Quality Rating
990 SOUTH AVE STE 207, ROCHESTER, NY 14620(585) 341-6775(585) 341-8310 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2024, Jan 23, 2019 (2 updates tracked since 2019).

About David Pillinger M.d. NPPES

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

DAVID PILLINGER M.D. (NPI 1972704617) is an individual endocrinology, diabetes & metabolism provider in Rochester, New York, licensed in New York (293355) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of University Of South Carolina School Of Medicine (2007).

NPPES Registry Identity

NPI1972704617
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDAVID PILLINGERCredential: M.D.
Location Address990 SOUTH AVE STE 207Rochester, NY 14620
Mailing Address1000 South Ave # 58Rochester, NY 14620-2733 · (585) 341-6775
Fax(585) 341-8310
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2007
Enumeration DateMay 30, 2007
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
NPI 1972704617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 293355
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

990 SOUTH AVE STE 207, Rochester, NY 14620

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

David Pillinger 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 ID9537316674
PECOS Enrollment IDI20180629001459
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.

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.
91 services59 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.
60 services38 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
28 services18 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

85.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.97
Promoting Interoperability100
Improvement Activities40
Cost39.73

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%126 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
49%71 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%178 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%200 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
2%171 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
69%84 patients3/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims57 services$5.95 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$318.77 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers41 claims41 services$183.25 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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Registered Nurse (Ambulatory Care)
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
990 SOUTH AVE STE 207
ROCHESTER, NY 14620
Internal Medicine (Endocrinology, Diabetes & Metabolism)
990 SOUTH AVE STE 207
ROCHESTER, NY 14620

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 David Pillinger's NPI number?

The NPI number for David Pillinger is 1972704617. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is David Pillinger located?

David Pillinger practices at 990 South Ave Ste 207, Rochester, NY 14620. The listed phone number is (585) 341-6775.

What is David Pillinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is David Pillinger enrolled in Medicare?

Yes. David Pillinger 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 David Pillinger affiliated with any hospitals?

According to CMS data, David Pillinger is affiliated with F F Thompson Hospital, Jones Memorial Hospital, Rochester General Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Pillinger was last updated on January 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.