Dr. Edward Pineles, MD
7812 Metropolitan Ave, Middle Village, NY 11379 • +1-749-555-9567
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Middle Village Percentiles
NPI #1144204215 • CBSA Regional • Pulmonary Disease
Anchored in Middle Village, NY 11379, Dr. Edward Pineles, MD (NPI 1144204215) logged 6,813 annual procedures (focused low-volume boutique caseload (0th Middle Village percentile), 92.76th NY percentile, +0.56σ) with sub-specialty concentration in 27 Active CMS HCPCS Codes.
Procedural volume for Dr. Pineles is led by HCPCS 99214 (Established Pulmonary, Asthma & COPD Management — 2793 annual services, $95–$130 GPCI cash estimate), followed by CPT 94060 (Pre- & Post-Bronchodilator Spirometry Airflow Evaluation, 1567/yr) and CPT 94729 (Alveolar Carbon Monoxide Diffusing Capacity (DLCO), 1158/yr).
Cash-pay intake data for NPI 1144204215 (7812 Metropolitan Ave, Middle Village) indicates $232.00 typical out-of-pocket visit spend against a $232.00 locality benchmark, paired with 15-minute average reception wait and 4.66/5 biomarker openness.
Clinical background for Dr. Pineles (MD, NPI #1144204215) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across NY.
Compared against Middle Village, NY Pulmonary Disease peers
6,813 annual services across 513 beneficiaries
Standard deviations from NY Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 2,793 | 12th | $95 – $130 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 1,567 | 12th | $62 – $84 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 1,158 | 12th | $56 – $77 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 749 | 12th | $173 – $237 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 545 | 12th | $133 – $182 |
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Dr. Edward Pineles, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pineles National Provider Identifier | NPI #1144204215 (MD) | CMS NPPES Registry (11379) |
| Dr. Pineles Middle Village CMS Volume Rank | 0.00th Pct (6,813 CMS svcs; Z +0.565σ) | CMS Medicare Part B (NY Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Middle Village, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 15 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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