Dr. Ernesto Pinzon, MD
- Medicare services, 2024
- 9,020
- Medicare patients, 2024
- 698
- Part D claims, 2024
- 8,857
- MIPS score, 2024
- 94
- Hospital affiliations
- 4
- Practice address
- 4245 Sun 'N Lake Blvd, Sebring, FL 33872
- Practice phone
- Call (863) 382-9443
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Highlands Dialysis Center
Dialysis Center - Independent · Sebring, Florida
Find Dr. Pinzon's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Ernesto Pinzon is a nephrologist in Sebring, Florida
Dr. Pinzon practices at Highlands Dialysis Center in Sebring, Florida.
Dr. Pinzon's NPI, 1013950542, was assigned on June 13, 2006. Dr. Pinzon graduated from Universidad Central del Caribe School of Medicine in 1990. Dr. Pinzon holds Florida license ME69730.
- NPI
- 1013950542NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0749243590
- NPI enumeration date
- June 13, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (863) 382-9443
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 62
- Medical school graduation
- 1990
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Ernesto Pinzon practices at Highlands Dialysis Center in Sebring, Florida
Dr. Pinzon's primary practice is Highlands Dialysis Center, at 4245 Sun 'N Lake Blvd, Sebring, FL 33872 in Highlands County. The practice phone is (863) 382-9443.
- Highlands Dialysis Center4245 Sun 'N Lake Blvd, Sebring, FL 33872 · Highlands CountyPhone(863) 382-9443
Source: Dmand AI Affiliation Data
Dr. Ernesto Pinzon is affiliated with 12 sites of care and 1 medical group
Dr. Pinzon's primary practice is Highlands Dialysis Center in Sebring, Florida. Dr. Pinzon is also affiliated with AdventHealth Sebring. The medical group on file is Kidney Associates. Dmand AI also links Dr. Pinzon to 3 more hospitals, 5 home health agencies, 1 dialysis center and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Ernesto Pinzon's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pinzon practices, 12 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Highlands Dialysis Center | Available with a free account |
| +11 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Ernesto Pinzon is one of 917 nephrologists in Florida
Nephrology is Dr. Pinzon's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Pinzon is licensed in Florida.
Specialties and state licenses
- Nephrology, FloridaPrimary
Clinical focus
Dmand AI lists acute kidney failure, chronic kidney disease, fluid and electrolyte imbalances and gout among the conditions Dr. Pinzon treats.
Nephrologists near Dr. Pinzon
Counts of nephrologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Ernesto Pinzon billed Medicare for 9,020 services in 2024
CMS data shows 9,020 Medicare services from Dr. Pinzon across 18 procedure codes in 2024, for 698 Medicare patients. Medicare paid $503,729 for them.
Dr. Pinzon's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 8,7572024: 7,85210%
- Other services
- 2023: 2812024: 1,071281%
- Tests and treatments
- 2023: 1372024: 9729%
Where Dr. Pinzon's Medicare services took place, 2024
- In an office8,66096%
- In a facility3604%
Dr. Pinzon compared with the Florida median for nephrologists, 2024
- Dr. Pinzon
- Florida median
- Medicare services
- 9,020vs 1,4906.1 times
- Medicare patients
- 698vs 38780% above
- Part D claims
- 8,099vs 9348.7 times
Medians across 882 nephrologists in Florida with Dmand AI profiles that report each measure.
Dr. Pinzon'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.
Need commercial claims for Dr. Pinzon?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Pinzon and other nephrologists in Florida.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Ernesto Pinzon treated 698 Medicare patients in 2024, average age 77
CMS counts 698 Medicare patients who saw Dr. Pinzon in 2024. The largest group is 75 to 84, with 307 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 12% are also on Medicaid. Their average risk score is 2.25, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Pinzon's median patient age at 77, with 53% women.
Dr. Pinzon's Medicare patients by age, 2024
Dr. Pinzon's Medicare patients by sex, 2024
- Women37854%
- Men32046%
Chronic conditions among Dr. Pinzon's Medicare patients, 2024
- Chronic kidney disease75%
- High blood pressure75%
- High cholesterol75%
- Arthritis57%
- Diabetes51%
- Ischemic heart disease50%
- Heart failure41%
- Mood disorders34%
Share of Medicare patients with each condition. A patient can have several.
Dr. Pinzon's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 77
Patient panel by sex, all payers
- Women53%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Ernesto Pinzon wrote 8,857 Medicare Part D claims in 2024
In 2024, Dr. Pinzon wrote 8,857 Medicare Part D claims for 790 patients. 86% of them were for generic drugs. CMS names the drug for 8,099 of them, across 124 drugs with 11 or more claims each, at $936,820 in total drug cost. In 2023, CMS named 6,999 claims across 117 drugs.
Dr. Pinzon's Part D claims by kind of drug, 2024
- Generic7,626 claims86%
- Brand-name1,166 claims13%
- Other65 claims1%
Dr. Pinzon'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.
Drug classes CMS tracks in Dr. Pinzon's Part D claims, 2024
- Opioids1%105 of 8,857 claims
- Antibiotics3%284 of 8,857 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 6,9992024: 8,09916%
Drugs named by CMS: 124 in 2024, 117 in 2023.
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. Ernesto Pinzon scored 94 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Dr. Pinzon for performance year 2024, reported individually. Dr. Pinzon accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Pinzon as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Pinzon's MIPS scores, performance year 2024
- 94of 100Final score
- 82.5of 100Quality
- 97of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Ernesto Pinzon received $1,116 in industry payments from 2016 to 2020
CMS Open Payments shows 52 general payments to Dr. Pinzon from 15 drug and device companies from 2016 to 2020. Food and beverage make up the largest share, 96% of the total. Allergan Inc. paid the most, $208.
General payments to Dr. Pinzon by program year, 2016 to 2020
General payments to Dr. Pinzon by kind, 2016 to 2020
- Food and beverage$1,07796%
- Education$394%
Companies that paid Dr. Pinzon the most, 2016 to 2020
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Ernesto Pinzon graduated from Universidad Central del Caribe School of Medicine
Dr. Pinzon graduated from Universidad Central del Caribe School of Medicine in 1990.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. Ernesto Pinzon accepts plans from 16 insurance carriers
Dr. Pinzon is in network with 16 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Excellus BlueCross BlueShield
- Blue Cross Blue Shield of Michigan
- United Healthcare
- HCSC
- Humana
- Blue Cross Blue Shield of Massachusetts
- +8 more carriersWith a free account
Plan types Dr. Pinzon accepts, by number of carriers
- PPO11
- Medicare10
- HMO9
- EPO5
- POS5
Source: Dmand AI Insurance Network Data
Sources for Dr. Ernesto Pinzon's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Ernesto Pinzon
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. Ernesto Pinzon's NPI number?
Dr. Ernesto Pinzon's NPI number is 1013950542. It was assigned on June 13, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Ernesto Pinzon?
Dr. Ernesto Pinzon is a nephrologist in Sebring, Florida. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).
Where does Dr. Ernesto Pinzon practice?
Dr. Pinzon practices at 4245 Sun 'N Lake Blvd, Sebring, FL 33872. Dr. Pinzon's primary practice is Highlands Dialysis Center in Sebring, Florida. Dmand AI also links Dr. Pinzon to 3 hospitals, 5 home health agencies, 1 dialysis center and 1 group practice or clinic.
What is Dr. Ernesto Pinzon's office phone number?
The practice phone on file for Dr. Pinzon is (863) 382-9443.
What is Dr. Ernesto Pinzon's medical license number?
Dr. Pinzon holds Florida license ME69730.
Which hospitals is Dr. Ernesto Pinzon affiliated with?
Dr. Pinzon is affiliated with AdventHealth Sebring. Dmand AI links Dr. Pinzon to 3 more hospitals.
What medical group is Dr. Ernesto Pinzon part of?
Dr. Pinzon is linked to Kidney Associates.
Does Dr. Ernesto Pinzon accept Medicare?
Yes. CMS data shows Dr. Pinzon billed Medicare for 9,020 services in 2024, and Dr. Pinzon accepts Medicare assignment.
Does Dr. Ernesto Pinzon offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Pinzon as offering telehealth services.
What is Dr. Ernesto Pinzon's MIPS score?
Dr. Pinzon's MIPS final score for performance year 2024 is 94 out of 100, reported individually.
Show 7 more questionsShow fewer questions
How many Medicare patients does Dr. Ernesto Pinzon see?
CMS counts 698 Medicare patients who saw Dr. Pinzon in 2024, with an average age of 77.
What services does Dr. Ernesto Pinzon bill to Medicare?
In 2024, Dr. Pinzon's most billed Medicare services were care management and other visits (99490), care management and other visits (99439) and office visit, established patient (99213).
Where did Dr. Ernesto Pinzon go to medical school?
Dr. Pinzon graduated from Universidad Central del Caribe School of Medicine in 1990.
What drugs does Dr. Ernesto Pinzon prescribe most?
In 2024 Medicare Part D data, Dr. Pinzon's most prescribed drugs by claims were Amlodipine Besylate, Atorvastatin Calcium and Metoprolol Succinate.
Has Dr. Ernesto Pinzon received payments from drug or device companies?
CMS Open Payments shows $1,116 in general payments to Dr. Pinzon from 15 companies from 2016 to 2020. The largest total came from Allergan Inc.
How long has Dr. Ernesto Pinzon been practicing?
Dr. Pinzon graduated from medical school in 1990, 36 years ago.
What insurance does Dr. Ernesto Pinzon accept?
Dr. Pinzon is in network with 16 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
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