DR. JOSE J. PINTO D.O.
NPI 1982643045
Obstetrics & Gynecology in Springfield, NJ

Active since June 05, 2006PECOS Enrolled
55 MORRIS AVE, SUITE 204, SPRINGFIELD, NJ 07081(973) 218-1579 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jose J. Pinto D.o. NPPES

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

DR. JOSE J. PINTO D.O. (NPI 1982643045) is an individual obstetrics & gynecology provider in Springfield, New Jersey, licensed in New Jersey (MB053889) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982643045
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOSE J. PINTOCredential: D.O.
Location Address55 MORRIS AVE, SUITE 204Springfield, NJ 07081-1426
Mailing Address55 Morris Ave, Suite 204Springfield, NJ 07081-1426 · (973) 218-1579
Sole ProprietorYes
Enumeration DateJune 5, 2006
Last NPPES UpdateDecember 8, 2008
✔ NPI 1982643045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · MB053889
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
55 MORRIS AVE, Springfield, NJ 07081

Other Identifiers 3

OtherEP208NJ · Oxford Health Plan
Medicare PIN463725NJ
Medicare UPINF70301NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose J. Pinto D.o. 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 Reassignment

Medicare enrollment records show Jose Pinto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
193 MOUNTAIN AVE
Springfield, NJ 07081
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 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.

Areas of Expertise CMS Part B claims 6

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.
153 services152 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
90 services90 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
88 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services51 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.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07081 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

Internal Medicine
55 MORRIS AVE, SUITE 216
SPRINGFIELD, NJ 07081
Internal Medicine
55 MORRIS AVE, SUITE 300
SPRINGFIELD, NJ 07081
Home Health
55 MORRIS AVE, SUITE 106
SPRINGFIELD, NJ 07081
Physician Assistant
55 MORRIS AVE
SPRINGFIELD, NJ 07081
Internal Medicine
55 MORRIS AVE, SUITE 216
SPRINGFIELD, NJ 07081
Surgery
55 MORRIS AVE, SUITE 304
SPRINGFIELD, NJ 07081
Nurse Practitioner
55 MORRIS AVE
SPRINGFIELD, NJ 07081
Dermatology (Clinical & Laboratory Dermatological Immunology)
55 MORRIS AVE
SPRINGFIELD, NJ 07081

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 Jose Pinto's NPI number?

The NPI number for Jose Pinto is 1982643045. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Jose Pinto located?

Jose Pinto practices at 55 Morris Ave Suite 204, Springfield, NJ 07081. The listed phone number is (973) 218-1579.

What is Jose Pinto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jose Pinto enrolled in Medicare?

Yes. Jose Pinto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Pinto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Pinto reassigns Medicare benefits to New Beginnings, Ob/Gyn, LLC (Springfield, NJ). The 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 Jose Pinto'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 Jose Pinto was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.