Dr. David Pineles, MD
101 Old Short Hills Rd Ste 217, West Orange, NJ 07052 • +1-597-555-2462
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & West Orange Percentiles
NPI #1982081428 • CBSA Regional • Gastroenterology
Within the West Orange, NJ (CBSA local) Gastroenterology cohort, Dr. David Pineles, MD with sub-specialty concentration in 36 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 71.63th NJ percentile (-0.15σ Z-score) based on 1,941 billed procedures for 719 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Pineles (averaging 2.7 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (718 encounters), paired with 45380 (485x).
At 101 Old Short Hills Rd Ste 217 (07052), Dr. David Pineles, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.78/5 bedside rating).
Credentialed as an MD specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. Pineles coordinates 36 Active CMS HCPCS Codes workups from 101 Old Short Hills Rd Ste 217 (+1-597-555-2462).
Compared against West Orange, NJ Gastroenterology peers
1,941 annual services across 719 beneficiaries
Standard deviations from NJ Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 718 | 66.67th | $183 – $251 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 485 | 63.67th | $440 – $604 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 408 | 64.67th | $366 – $501 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 194 | 71.67th | $490 – $672 |
| 99204 | New Patient Digestive & Hepatology Consultation | 136 | 62.67th | $258 – $353 |
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Dr. David Pineles, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pineles National Provider Identifier | NPI #1982081428 (MD) | CMS NPPES Registry (07052) |
| Dr. Pineles West Orange CMS Volume Rank | 66.67th Pct (1,941 CMS svcs; Z -0.149σ) | CMS Medicare Part B (NJ Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Orange, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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