Dr. Claudia Susana Pinilla, MD

  • Danville, CA
  • Ophthalmologist
NPI1598751638
Medicare services, 2024
1,415
Medicare patients, 2024
615
Part D claims, 2024
664
MIPS score, 2024
75
Industry payments
$844
Practice address
909 San Ramon Valley Blvd, Danville, CA 94526
Practice phone
Call (925) 837-6428
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Danville-San Ramon Eye Medical Corp

Danville, California

See all 4 affiliations

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Dr. Claudia Susana Pinilla is an ophthalmologist in Danville, California

Dr. Pinilla practices at Danville-San Ramon Eye Medical Corp in Danville, California.

Dr. Pinilla's NPI, 1598751638, was assigned on September 23, 2005. Dr. Pinilla graduated from UCSF School of Medicine in 1986. Dr. Pinilla holds California license G60732.

NPI and contact details
NPI enumeration date
September 23, 2005
NPI status
Active
Practice phone
(925) 837-6428
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
66
Medical school graduation
1986

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data

Dr. Claudia Susana Pinilla practices at Danville-San Ramon Eye Medical Corp in Danville, California

Dr. Pinilla's primary practice is Danville-San Ramon Eye Medical Corp, at 909 San Ramon Valley Blvd, Danville, CA 94526 in Contra Costa County. The practice phone is (925) 837-6428.

  • Danville-San Ramon Eye Medical Corp
    909 San Ramon Valley Blvd, Danville, CA 94526 · Contra Costa CountyPhone(925) 837-6428

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Claudia Susana Pinilla is affiliated with 2 sites of care and 2 medical groups

Dr. Pinilla's primary practice is Danville-San Ramon Eye Medical Corp in Danville, California. The medical group on file is John Muir Health. Dmand AI also links Dr. Pinilla to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 4 affiliations for Dr. Pinilla

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Claudia Susana Pinilla's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pinilla practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Danville-San Ramon Eye Medical CorpAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Claudia Susana Pinilla is one of 2,621 ophthalmologists in California

Ophthalmology is Dr. Pinilla's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Pinilla is board certified in ophthalmology by the American Board of Ophthalmology. Dr. Pinilla is licensed in California.

Specialties and state licenses

  • Ophthalmology, CaliforniaPrimaryLicense G60732 · 1987 to 2027 · taxonomy 207W00000X

Clinical focus

Dmand AI lists age-related macular degeneration, cataract, cataract surgery with lens implant, conjunctivitis, dry eye, eyelid inflammation, glaucoma and glaucoma surgery among the conditions Dr. Pinilla treats.

Ophthalmologists near Dr. Pinilla

Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.

2,621ophthalmologists in California
2ophthalmologists in Danville

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Claudia Susana Pinilla billed Medicare for 1,415 services in 2024

CMS data shows 1,415 Medicare services from Dr. Pinilla across 13 procedure codes in 2024, for 615 Medicare patients. Medicare paid $117,541 for them.

Medicare services, 20241,415
Medicare patients615
Paid by Medicare$117,541
Procedure codes13

Dr. Pinilla's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 1,1662024: 94019%
Office and hospital visits
2023: 5032024: 43913%
Surgery
2023: 712024: 2565%
Imaging
2023: 02024: 11

Where Dr. Pinilla's Medicare services took place, 2024

  • In an office1,39098%
  • In a facility252%

Dr. Pinilla compared with the California median for ophthalmologists, 2024

  • Dr. Pinilla
  • California median
Medicare services
1,415vs 1,07931% above
Medicare patients
615vs 42146% above
Part D claims
558vs 61810% below

Medians across 2,568 ophthalmologists in California with Dmand AI profiles that report each measure.

Dr. Pinilla's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Claudia Susana Pinilla treated 615 Medicare patients in 2024, average age 77

CMS counts 615 Medicare patients who saw Dr. Pinilla in 2024. The largest group is 75 to 84, with 296 patients. 75% of them have high cholesterol, and 64% have high blood pressure. Their average risk score is 0.86, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Pinilla's median patient age at 76, with 58% women.

Medicare patients, 2024615
Average age77
Average risk score0.86

Dr. Pinilla's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Pinilla's Medicare patients by sex, 2024

  • Women37561%
  • Men24039%

Chronic conditions among Dr. Pinilla's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure64%
  3. Arthritis42%
  4. Osteoporosis19%
  5. Cancer18%
  6. Ischemic heart disease18%
  7. Chronic kidney disease16%
  8. Anxiety15%

Share of Medicare patients with each condition. A patient can have several.

Dr. Pinilla's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 76

Patient panel by sex, all payers

  • Women58%
  • Men39%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Claudia Susana Pinilla wrote 664 Medicare Part D claims in 2024

In 2024, Dr. Pinilla wrote 664 Medicare Part D claims for 162 patients. 48% of them were for generic drugs. CMS names the drug for 558 of them, across 10 drugs with 11 or more claims each, at $67,489 in total drug cost. In 2023, CMS named 648 claims across 14 drugs.

Part D claims, 2024664
Drugs named by CMS10
Total drug cost$67,489
Part D patients162

Dr. Pinilla's Part D claims by kind of drug, 2024

  • Generic322 claims48%
  • Brand-name342 claims52%

Dr. Pinilla's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 6482024: 55814%

Drugs named by CMS: 10 in 2024, 14 in 2023.

See all prescribing by Dr. Pinilla

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Claudia Susana Pinilla scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Pinilla for performance year 2024, reported as part of a group.

MIPS final score, 2024
75 of 100

Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Claudia Susana Pinilla received $844 in industry payments from 2016 to 2022

CMS Open Payments shows 12 general payments to Dr. Pinilla from 6 drug and device companies from 2016 to 2022. Food and beverage make up the largest share, 94% of the total. Alcon Laboratories Inc paid the most, $314.

General payments to Dr. Pinilla by program year, 2016 to 2022

General payments to Dr. Pinilla by kind, 2016 to 2022

$844in total
  • Food and beverage$79494%
  • Education$384%
  • Travel and lodging$121%

Companies that paid Dr. Pinilla the most, 2016 to 2022

Share is of all general payments to this clinician.

See all payments to Dr. Pinilla

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Claudia Susana Pinilla has 3 awards and honors on record

Dmand AI lists 3 awards for Dr. Pinilla, most recently Regional Top Doctor in 2014.

Awards and honors for Dr. Pinilla

  1. 2014
    • Regional Top Doctor
  2. Undated
    • AAO Fellow
    • Checkbook Top Doc

Source: Dmand AI Professional Profile Data

Dr. Claudia Susana Pinilla graduated from UCSF School of Medicine

Dr. Pinilla graduated from UCSF School of Medicine in 1986. Dr. Pinilla is a member of AAO.

  1. Medical schoolUCSF School of Medicine
  2. Board certified in ophthalmologyAmerican Board of Ophthalmology

Source: Dmand AI Professional Profile Data

Dr. Claudia Susana Pinilla accepts plans from 16 insurance carriers

Dr. Pinilla is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Humana
  • Regence Health Plans
  • +8 more carriersWith a free account

Plan types Dr. Pinilla accepts, by number of carriers

  1. Medicare10
  2. PPO10
  3. HMO6
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Claudia Susana Pinilla's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Claudia Susana Pinilla

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Claudia Susana Pinilla's NPI number?

Dr. Claudia Susana Pinilla's NPI number is 1598751638. It was assigned on September 23, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Claudia Susana Pinilla?

Dr. Claudia Susana Pinilla is an ophthalmologist in Danville, California. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).

Where does Dr. Claudia Susana Pinilla practice?

Dr. Pinilla practices at 909 San Ramon Valley Blvd, Danville, CA 94526. Dr. Pinilla's primary practice is Danville-San Ramon Eye Medical Corp in Danville, California. Dmand AI also links Dr. Pinilla to 1 group practice or clinic and 1 medical group.

What is Dr. Claudia Susana Pinilla's office phone number?

The practice phone on file for Dr. Pinilla is (925) 837-6428.

What is Dr. Claudia Susana Pinilla's medical license number?

Dr. Pinilla holds California license G60732.

What medical group is Dr. Claudia Susana Pinilla part of?

Dr. Pinilla is linked to John Muir Health. Dmand AI links Dr. Pinilla to 1 more medical group.

Does Dr. Claudia Susana Pinilla accept Medicare?

Yes. CMS data shows Dr. Pinilla billed Medicare for 1,415 services in 2024.

What is Dr. Claudia Susana Pinilla's MIPS score?

Dr. Pinilla's MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.

How many Medicare patients does Dr. Claudia Susana Pinilla see?

CMS counts 615 Medicare patients who saw Dr. Pinilla in 2024, with an average age of 77.

Is Dr. Claudia Susana Pinilla board certified?

Yes. Dr. Pinilla is board certified in ophthalmology by the American Board of Ophthalmology.

Show 6 more questionsShow fewer questions

What services does Dr. Claudia Susana Pinilla bill to Medicare?

In 2024, Dr. Pinilla's most billed Medicare services were eye exam or test (92014), office visit, established patient (99213) and office visit, established patient (99214).

Where did Dr. Claudia Susana Pinilla go to medical school?

Dr. Pinilla graduated from UCSF School of Medicine in 1986.

What drugs does Dr. Claudia Susana Pinilla prescribe most?

In 2024 Medicare Part D data, Dr. Pinilla's most prescribed drugs by claims were Latanoprost, Timolol Maleate and Brimonidine Tartrate.

Has Dr. Claudia Susana Pinilla received payments from drug or device companies?

CMS Open Payments shows $844 in general payments to Dr. Pinilla from 6 companies from 2016 to 2022. The largest total came from Alcon Laboratories Inc.

How long has Dr. Claudia Susana Pinilla been practicing?

Dr. Pinilla graduated from medical school in 1986, 40 years ago.

What insurance does Dr. Claudia Susana Pinilla accept?

Dr. Pinilla is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

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