Tomas Pineda,jr., M.D.
NPI 1649209826 · Family Medicine Physician · Fort Payne, AL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tomas Pineda,jr., M.D. is a Family Medicine Physician provider in Fort Payne, AL (NPI 1649209826).
Provider details
- NPI number
- 1649209826
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10696 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 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
62 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $82 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 22 | $9 |
Typical Medicare-allowed amounts for these services range $9–$82 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 98 | 25 |
| Levothyroxine Sodium | 73 | 18 |
| Pravastatin Sodium | 69 | 22 |
| Lisinopril | 64 | 18 |
| Metformin Hcl | 58 | 14 |
| Lisinopril/Hydrochlorothiazidebrand: Lisinopril-Hydrochlorothiazide | 56 | 14 |
| Atorvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Tomas Pineda,jr.'s NPI number?
- Tomas Pineda,jr.'s National Provider Identifier (NPI) is 1649209826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tomas Pineda,jr.'s specialty?
- Tomas Pineda,jr. is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tomas Pineda,jr. located?
- Tomas Pineda,jr.'s practice location on file with NPPES is 1105 Cedarwood Dr Sw, Fort Payne, AL 35968-3613.
- What is Tomas Pineda,jr.'s phone number?
- The practice phone number listed in the NPPES registry for Tomas Pineda,jr. is (256) 845-5448.
- Does Tomas Pineda,jr. accept Medicare?
- Tomas Pineda,jr. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tomas Pineda,jr.'s NPI active?
- Yes — Tomas Pineda,jr.'s NPI (1649209826) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.