Luis Pineda, MD, MSHA
NPI 1538125695 · Specialist · Birmingham, AL
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Pineda, MD, MSHA is a Specialist provider in Birmingham, AL (NPI 1538125695).
Provider details
- NPI number
- 1538125695
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD, MSHA
- Sex
- Male
- Sole proprietor
- No
- License
- AP9400362 (AL)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
578 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 149 | $113 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 130 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 116 | $10 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 62 | $161 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 57 | $61 |
| 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'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 63 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 123 | 14 |
| Warfarin Sodium | 84 | 20 |
| Apixabanbrand: Eliquis | 67 | 15 |
| Rivaroxabanbrand: Xarelto | 61 | 13 |
| Gabapentin | 57 | 14 |
| Levothyroxine Sodium | 48 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$35 across 2 records (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
Additional practice locations (1)
- 1909 Laurel RdVestavia, AL 35216-1834Phone: (205) 978-3570Fax: (205) 823-5086
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Frequently asked questions
- What is Luis Pineda's NPI number?
- Luis Pineda's National Provider Identifier (NPI) is 1538125695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Pineda's specialty?
- Luis Pineda is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Luis Pineda located?
- Luis Pineda's practice location on file with NPPES is 1509 6th Ave S, Birmingham, AL 35233-1601.
- What is Luis Pineda's phone number?
- The practice phone number listed in the NPPES registry for Luis Pineda is (205) 521-5525.
- Does Luis Pineda accept Medicare?
- Luis Pineda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Pineda's NPI active?
- Yes — Luis Pineda's NPI (1538125695) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.