EDWARD PINELES, MD
Pulmonary Disease Physician · MIDDLE VILLAGE, NY
Individual Active NPI 1144204215
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 513 | 6,813 | $554,815 | $373,688 | $294,297 |
| 2023 | 408 | 5,258 | $483,555 | $359,660 | $283,661 |
| 2022 | 695 | 19,451 | $709,945 | $436,045 | $345,982 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 3,184 | $5 | $4 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,082 | $84 | $67 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 272 | $138 | $108 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 254 | $81 | $62 |
| 99291 | Critical care, first 30-74 minutes | 230 | $228 | $181 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 228 | $197 | $154 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 74 | $117 | $90 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 40 | $102 | $79 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 37 | $45 | $36 |
| 94640 | Inhalation treatment for airway obstruction or sputum production | 37 | $10 | $8 |
| 94729 | Test to examine how well the lungs exchange gases | 37 | $66 | $53 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 35 | $52 | $41 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 127901 | NY |
| Internal Medicine Physician | 207R00000X | 127901 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in New York
- NPI 1548885643
- NPI 1740556349
- NPI 1740252295
- NPI 1225748494
- NPI 1205173531
- NPI 1720329949
- NPI 1902918394
- NPI 1477700425
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.