Dr. Tony Pinson, MD
470 Taylor Rd Ste 201, Montgomery, AL 36117 • +1-855-555-8610
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Montgomery Percentiles
NPI #1497764104 • CBSA Regional • Urology
CMS Medicare Part B utilization records credit Dr. Tony Pinson (MD, NPI 1497764104) at 470 Taylor Rd Ste 201 in Montgomery with 2,404 annual clinical services (386 beneficiaries), corresponding to a -0.56σ regional deviation and mid-cohort balanced caseload (44.44th Montgomery percentile) with sub-specialty concentration in 63 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1497764104 highlights 865 annual claims for 99214 (44.44th Montgomery percentile; $77–$106 self-pay corridor) plus 649 encounters under 51798 and 409 under 52000.
Self-pay new patient consultations with Dr. Pinson (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.56/5 modern protocol openness score across 14 patient logs.
Credentialed as an MD specialist with 32 years post-graduation experience since completing medical school at an LCME/COCA institution (1994), Dr. Pinson coordinates 63 Active CMS HCPCS Codes workups from 470 Taylor Rd Ste 201 (+1-855-555-8610).
Compared against Montgomery, AL Urology peers
2,404 annual services across 386 beneficiaries
Standard deviations from AL Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 865 | 44.44th | $77 – $106 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 649 | 39.44th | $32 – $47 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 409 | 47.44th | $157 – $216 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 288 | 46.44th | $44 – $60 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 192 | 40.44th | $109 – $149 |
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Dr. Tony Pinson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pinson National Provider Identifier | NPI #1497764104 (MD) | CMS NPPES Registry (36117) |
| Dr. Pinson Montgomery CMS Volume Rank | 44.44th Pct (2,404 CMS svcs; Z -0.560σ) | CMS Medicare Part B (AL Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Montgomery, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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