Physician Profile
Based in Springfield, IL, Stephen J. Pineda, MD is listed in the NPI registry under orthopaedic surgery of the spine. Stephen graduated from Columbia University College of Physicians and Surgeons in 1990. According to Medicare claims data, Stephen cared for 241 Medicare patients across 259 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more, and new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
800 N. 1ST ST.
Springfield, IL 62702
259 services · 241 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
72 | As often as other peers in Orthopaedic Surgery of the Spine |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | Office visit | 99212 |
68 | More often than most peers in Orthopaedic Surgery of the Spine |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Office visit | 99203 |
41 | As often as other peers in Orthopaedic Surgery of the Spine |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99221 |
29 | More often than most peers in Orthopaedic Surgery of the Spine |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
22 | As often as other peers in Orthopaedic Surgery of the Spine |
| New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | Office visit | 99202 |
14 | |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
13 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Pineda is an orthopaedic surgery of the spine in Springfield, IL. That is the designation recorded for this NPI in the federal registry.
NPI registry
Dr. Pineda is listed at 800 N. 1St St., Springfield, IL 62702. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (217) 528-7541. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Pineda's National Provider Identifier is 1528178654. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Pineda attended Columbia University College of Physicians and Surgeons, graduating in 1990. This comes from the CMS National Downloadable File.
CMS public data
Dr. Pineda has 36 years experience. Calculated from a graduation year of 1990, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Pineda the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Pineda. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.