Doctor profile · Federal record
Dr. Ernesto Pinzon, MD
Nephrology Physician (CMS: Nephrology) · Internal Medicine Physician · Sebring, FL
- NPI 1013950542
- Accepts Medicare
- MIPS 84.7 / 100 · 2023
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2950 Alt US Hwy 27 S, Suite A
Sebring, FL 338704973
(863) 471-1300
fax (863) 471-1315
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- February 4, 2010
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State license (1)
- Florida #ME69730
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013950542. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
9,175
Distinct HCPCS
10
Medicare allowed
$676,914
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 3,185 | 467 | $62 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 2,211 | 364 | $47 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 998 | 477 | $90 | |
99484 |
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 871 | 142 | $42 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 469 | 294 | $127 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 384 | 125 | $120 | |
99497 |
Advance care planning, first 30 minutes | 221 | 221 | $83 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 202 | 202 | $127 | |
90962 |
Dialysis services, 1 physician visit per month (20 years or older) | 137 | 22 | $201 | |
99442 |
Telephone medical discussion with physician, 11-20 minutes | 95 | 60 | $90 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 324. This provider delivers 28× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
3,294
Patients
1,159
Total drug cost
$49,113
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 463 | 157 | $4,215 |
| Atorvastatin Calcium | Generic | 321 | 103 | $4,460 |
| Levothyroxine Sodium | Generic | 263 | 77 | $4,063 |
| Metoprolol Succinate | Generic | 256 | 97 | $5,919 |
| Pantoprazole Sodium | Generic | 233 | 80 | $5,054 |
| Furosemide | Generic | 229 | 87 | $1,356 |
| Hydralazine Hcl | Generic | 223 | 90 | $5,835 |
| Hydrochlorothiazide | Generic | 219 | 79 | $1,206 |
| Lisinopril | Generic | 186 | 65 | $1,791 |
| Rosuvastatin Calcium | Generic | 184 | 64 | $3,635 |
Hospital affiliations
Frequently asked questions
What is Dr. Ernesto Pinzon's medical specialty?
Dr. Ernesto Pinzon practices Nephrology Physician in Sebring, FL.
Where does Dr. Ernesto Pinzon practice?
Dr. Ernesto Pinzon practices at 2950 Alt US Hwy 27 S, Sebring, FL 338704973. Office phone: 8634711300.
What is Dr. Ernesto Pinzon's NPI?
Dr. Ernesto Pinzon's National Provider Identifier (NPI) is 1013950542, issued by NPPES.
Does Dr. Ernesto Pinzon accept Medicare assignment?
Yes. Dr. Ernesto Pinzon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ernesto Pinzon commonly perform?
Top Medicare-reported procedures in 2023: Chronic care management services (HCPCS 99490); Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS 99439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.