DAVID J PINNELAS M.D.
NPI 1982683025
Internal Medicine - Cardiovascular Disease in Neptune, NJ

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1820 STATE ROUTE 33, SUITE 4B, NEPTUNE, NJ 07753(732) 776-8500(732) 988-2347 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David J Pinnelas M.d. NPPES

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

DAVID J PINNELAS M.D. (NPI 1982683025) is an individual cardiovascular disease provider in Neptune, New Jersey, licensed in New Jersey (25MA05743000) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1982683025
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDAVID J PINNELASCredential: M.D.
Location Address1820 STATE ROUTE 33, SUITE 4BNeptune, NJ 07753-4860
Mailing Address1820 State Route 33, Suite 4bNeptune, NJ 07753-4860 · (732) 776-8500 · Fax (732) 988-2347
Fax(732) 988-2347
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 16, 2006
Last NPPES UpdateFebruary 3, 2014
NPI 1982683025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA05743000
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 25MA05743000 (NJ)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 25MA05743000 (NJ)
1820 STATE ROUTE 33, Neptune, NJ 07753

Other Identifiers 10

Other223247181Multiplan
Other223247181Chn
Other223247181012Qualcare
OtherP00262891Railroad Medicare
Other588679NJ · Cigna
Other223247181Intergroup
Other223247181NJ · Horizon Bcbs
Medicare ID-Type Unspecified723059AXTNJ
Other431942Aetna
Medicare UPINF01653

Accepted Insurance

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 J Pinnelas 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 ID1759315849
PECOS Enrollment IDI20050919000544
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 36

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.
1,097 services415 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
628 services407 patients
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.
582 services344 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
337 services330 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.
297 services279 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
167 services155 patients

Hospital Affiliations CMS Care Compare 5

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 16

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

Pharmacy (Community/Retail Pharmacy)
1820 STATE ROUTE 33
NEPTUNE, NJ 07753
Dentist (General Practice)
1820 STATE ROUTE 33
NEPTUNE, NJ 07753
Internal Medicine (Cardiovascular Disease)
1820 STATE ROUTE 33, SUITE 4B
NEPTUNE, NJ 07753
Internal Medicine (Clinical Cardiac Electrophysiology)
1820 STATE ROUTE 33, SUITE 4B
NEPTUNE, NJ 07753
Internal Medicine (Cardiovascular Disease)
1820 STATE ROUTE 33, SUITE 4B
NEPTUNE, NJ 07753
Home Health
1820 STATE ROUTE 33, SUITE 12
NEPTUNE, NJ 07753
Physician Assistant
1820 STATE ROUTE 33, SUITE 4B
NEPTUNE, NJ 07753
Internal Medicine (Cardiovascular Disease)
1820 STATE ROUTE 33, SUITE 4B
NEPTUNE, NJ 07753

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 Pinnelas's NPI number?

The NPI number for David Pinnelas is 1982683025. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is David Pinnelas located?

David Pinnelas practices at 1820 State Route 33 Suite 4B, Neptune, NJ 07753. The listed phone number is (732) 776-8500.

What is David Pinnelas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David Pinnelas enrolled in Medicare?

Yes. David Pinnelas 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.

What insurance does David Pinnelas accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list David Pinnelas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Pinnelas affiliated with any hospitals?

According to CMS data, David Pinnelas is affiliated with Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Centrastate Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for David Pinnelas was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.