MARK PILLINGER CRNA
NPI 1982034385
Nurse Anesthetist, Certified Registered in Miami, FL

NPI Status: Active since November 21, 2013

Contact Information

1400 NW 12TH AVE
MIAMI, FL
ZIP 33136
Phone: (305) 689-5376

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 13
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About MARK PILLINGER

This page provides the complete NPI Profile along with additional information for Mark Pillinger, a provider established in Miami, Florida with a medical specialization in Nurse Anesthetist, Certified Registered and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1982034385 assigned on November 2013. The practitioner's primary taxonomy code is 367500000X with license number ARNP9293274 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1982034385
Provider Name
MARK PILLINGER CRNA
Gender
Male
Entity Type
Individual
Location Address
1400 NW 12TH AVE MIAMI, FL 33136
Location Phone
(305) 689-5376
Mailing Address
1400 NW 12TH AVE MIAMI, FL 33136
Mailing Phone
(305) 689-5376
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
11-21-2013
Last Update Date
02-13-2015
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
ARNP9293274
License State
FL
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

RN9293274 (FL)

Medicare Participation & PECOS Enrollment Status

Mark Pillinger is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5799914677

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140219000900

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $35.39 for a new patient copayment and $18.96 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33136 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $141.56
  • Minimum New Patient Price $60.92
  • Maximum New Patient Price $187.05
  • Average New Patient Copayment $35.39
  • Minimum New Patient Copayment $15.23
  • Maximum New Patient Copayment $46.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.86
  • Minimum Established Patient Price $18.99
  • Maximum Established Patient Price $150.24
  • Average Established Patient Copayment $18.96
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.56

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MARK PILLINGER CRNA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982034385, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 0 + 3 + 8 + 3 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1982034385.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
1400 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1400 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1400 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1400 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1400 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1400 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1400 NW 12TH AVE
MIAMI, FL 33136
Radiology (Body Imaging)
1400 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine (Cardiovascular Disease)
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE, ANESTHESIA DEPT
MIAMI, FL 33136
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Radiology (Diagnostic Radiology)
1400 NW 12TH AVE
MIAMI, FL 33136
General Acute Care Hospital
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE, ANESTHESIA DEPARTMENT
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE, ANESTHESIA DEPARTMENT
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE, ANESTHESIA DEPARTMENT
MIAMI, FL 33136
Dermatology
1400 NW 12TH AVE, SUITE #4
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE, DEPARTMENT OF ANESTHESIA
MIAMI, FL 33136
Specialist
1400 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982034385, enumerated as an "individual" on November 21, 2013.

The provider is located at 1400 NW 12TH AVE MIAMI, FL 33136 and the phone number is (305) 689-5376.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.