Ernesto Pinzon, MD
NPI 1013950542 · Nephrology Physician · Sebring, FL
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ernesto Pinzon, MD is a Nephrology Physician provider in Sebring, FL (NPI 1013950542).
Provider details
- NPI number
- 1013950542
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME69730 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
9,020 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 2,461 | $65 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 2,354 | $49 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,056 | $93 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 887 | $17 |
| Care Management Services for Behavioral Health Conditions, 20 Minutes Or More Clinical Staff Time Directed By Health Care Professional99484 | 711 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 125 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 562 | 185 |
| Atorvastatin Calcium | 378 | 112 |
| Metoprolol Succinate | 334 | 115 |
| Levothyroxine Sodium | 294 | 87 |
| Hydralazine Hcl | 277 | 103 |
| Pantoprazole Sodium | 252 | 81 |
| Furosemide | 247 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2010-02-04
Frequently asked questions
- What is Ernesto Pinzon's NPI number?
- Ernesto Pinzon's National Provider Identifier (NPI) is 1013950542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ernesto Pinzon's specialty?
- Ernesto Pinzon is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Ernesto Pinzon located?
- Ernesto Pinzon's practice location on file with NPPES is 2950 Alt US Hwy 27 S, Sebring, FL 33870-4973.
- What is Ernesto Pinzon's phone number?
- The practice phone number listed in the NPPES registry for Ernesto Pinzon is (863) 471-1300.
- Does Ernesto Pinzon accept Medicare?
- Ernesto Pinzon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ernesto Pinzon's NPI active?
- Yes — Ernesto Pinzon's NPI (1013950542) is active in the NPPES registry as of the last update on 2010-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.