Miguel Pineda
NPI 1053558627 · Urology Physician · New York, NY
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miguel Pineda is a Urology Physician provider in New York, NY (NPI 1053558627).
Provider details
- NPI number
- 1053558627
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 266948 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
619 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| 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 | 189 | $19 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 162 | $104 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 64 | $148 |
| Urinalysis, Manual Test81002 | 41 | $3 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 36 | $190 |
| Insertion of Needle Into Vein for Collection of Blood Sample |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 215 | 96 |
| Vibegronbrand: Gemtesa | 77 | 31 |
| Finasteride | 63 | 29 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 41 | 31 |
| Silodosin | 29 | — |
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 28 | 11 |
| Estradiol | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$40 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-01-19
- Last updated
- 2016-10-26
Frequently asked questions
- What is Miguel Pineda's NPI number?
- Miguel Pineda's National Provider Identifier (NPI) is 1053558627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miguel Pineda's specialty?
- Miguel Pineda is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Miguel Pineda located?
- Miguel Pineda's practice location on file with NPPES is 525 E 68th St, New York, NY 10065-4870.
- What is Miguel Pineda's phone number?
- The practice phone number listed in the NPPES registry for Miguel Pineda is (212) 746-2050.
- Does Miguel Pineda accept Medicare?
- Miguel Pineda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miguel Pineda's NPI active?
- Yes — Miguel Pineda's NPI (1053558627) is active in the NPPES registry as of the last update on 2016-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.