Doctor profile · Federal record

Dr. Edward Pineles, MD

Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Middle Village, NY

  • NPI 1144204215
  • Accepts Medicare
  • MIPS 55.8 / 100 · 2023
  • 51 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
7812 Metropolitan Ave
Middle Village, NY 113792900
(718) 894-1651
fax (718) 894-1651

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
August 11, 2008
Year of graduation
1975 — 51 yrs since
Specialty taxonomy
207RP1001X — NUCC code
State license (1)
New York #127901
Medicaid
NY #00465114

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1144204215. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
5,196
Distinct HCPCS
10
Medicare allowed
$352,577
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 1,945 155 $90
95004 Test for allergy using allergenic extract 1,364 35 $5
95004 Test for allergy using allergenic extract 880 18 $5
99291 Critical care, first 30-74 minutes 256 39 $244
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 238 156 $149
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes 224 102 $85
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 166 153 $205
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 85 71 $121
99204 New patient office or other outpatient visit, 45-59 minutes 23 23 $194
94060 Test to measure expiratory airflow and volume changes before and after medication administration 15 15 $45

In context: peer comparison

Among 2 peers in Middle Village Pulmonary Disease Physician, average services per provider: 824. This provider delivers 6.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
255
Patients
69
Total drug cost
$72,046
Drug Type Claims Patients Total cost
Montelukast Sodium Generic 65 24 $749
Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) Brand 47 16 $33,415
Symbicort (Budesonide/Formoterol Fumarate) Brand 24 12 $10,744
Methylprednisolone Generic 19 17 $201
Atenolol Generic 15 0 $143
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 13 0 $518
Amlodipine Besylate Generic 12 0 $60
Breo Ellipta (Fluticasone/Vilanterol) Brand 12 0 $4,959
Eliquis (Apixaban) Brand 12 0 $8,394
Irbesartan Generic 12 0 $178

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Edward Pineles's medical specialty?
Dr. Edward Pineles practices Pulmonary Disease Physician in Middle Village, NY.
Where does Dr. Edward Pineles practice?
Dr. Edward Pineles practices at 7812 Metropolitan Ave, Middle Village, NY 113792900. Office phone: 7188941651.
What is Dr. Edward Pineles's NPI?
Dr. Edward Pineles's National Provider Identifier (NPI) is 1144204215, issued by NPPES.
Does Dr. Edward Pineles accept Medicare assignment?
Yes. Dr. Edward Pineles accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Edward Pineles commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Test for allergy using allergenic extract (HCPCS 95004); Test for allergy using allergenic extract (HCPCS 95004). Source: CMS Medicare Physician & Other Practitioners file.