KATHERINE M PINHEIRO M.D.
NPI 1982922464
Pathology - Anatomic Pathology & Clinical Pathology in Newburgh, NY

Active since May 09, 2010PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
70 DUBOIS STREET, DEPT. OF PATHOLOGY, NEWBURGH, NY 12550(845) 568-2184(845) 568-2671 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine M Pinheiro M.d. NPPES

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

KATHERINE M PINHEIRO M.D. (NPI 1982922464) is an individual anatomic pathology & clinical pathology provider in Newburgh, New York, licensed in New York (274159) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Albany Medical College Of Union University (2010).

NPPES Registry Identity

NPI1982922464
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameKATHERINE M PINHEIROCredential: M.D.
Location Address70 DUBOIS STREET, DEPT. OF PATHOLOGYNewburgh, NY 12550-4851
Mailing Address70 Dubois Street, Dept. Of PathologyNewburgh, NY 12550-4851 · (455) 682-1848 · Fax (845) 568-2392
Fax(845) 568-2671
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2010
Enumeration DateMay 9, 2010
Last NPPES UpdateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
NPI 1982922464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NY · 274159
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 62991
70 DUBOIS STREET, Newburgh, NY 12550

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

Katherine M Pinheiro 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 ID8820328958
PECOS Enrollment IDI20191002002347
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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,028 services479 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
501 services83 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
178 services127 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
101 services92 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
96 services80 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
95 services64 patients

Hospital Affiliations CMS Care Compare 3

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Internal Medicine
70 DUBOIS STREET
NEWBURG, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET, MONTEFIORE ST. LUKE'S CORNWALL
NEWBURGH, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550

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 Katherine Pinheiro's NPI number?

The NPI number for Katherine Pinheiro is 1982922464. It was assigned to this individual provider in the NPPES registry on May 9, 2010.

Where is Katherine Pinheiro located?

Katherine Pinheiro practices at 70 Dubois Street Dept. Of Pathology, Newburgh, NY 12550. The listed phone number is (845) 568-2184.

What is Katherine Pinheiro's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Katherine Pinheiro enrolled in Medicare?

Yes. Katherine Pinheiro 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 Katherine Pinheiro affiliated with any hospitals?

According to CMS data, Katherine Pinheiro is affiliated with Albany Medical Center Hospital, Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Pinheiro was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.