Active NPI 1033228903 Individual Practitioner Male Practitioner

Dr. Mark C Pinto , MD

Orthopaedic Surgery • Chelsea, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Pinto, MD is a certified Orthopaedic Surgery practicing in Chelsea, MI. With approximately 32 years of clinical experience since graduating from University Of Michigan Medical School in 1994, Dr. Pinto delivers high-quality medical care to the local community at 14650 E. OLD US HWY 12.

Dr. Pinto is affiliated with Iha Health Services Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of shoulder, minimum of 2 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14650 E. Old Us Hwy 12
Suite 105

Chelsea, MI 48118

Telephone 7345935700

Fax 7345935705

Associated Practice Facility / Clinic

🏢 Chelsea Pain Clinic Pllc Facility NPI 1437550639

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Chelsea, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +3.2 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Chelsea, MI (1014 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pinto (32 Years) 32 Yrs

Chelsea Specialty Average (28.8 Years) 28.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	113	$255.95	$97.59
73030 X-ray of shoulder, minimum of 2 views	140	137	$22.71	$10.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$362.98	$133.32
20610 Aspiration and/or injection of fluid from large joint	63	62	$116.44	$50.78
99213 Established patient office or other outpatient visit, typically 15 minutes	28	22	$175.89	$66.26
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$1976.00	$1031.04
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1010.00	$165.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	147	147	$21.77	$9.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	119	$226.05	$98.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$320.05	$134.75
20610 Aspiration and/or injection of fluid from large joint	93	91	$169.66	$48.02
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$156.74	$67.21
29827 Repair of shoulder rotator cuff using an endoscope	25	25	$1976.00	$1036.42
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	23	23	$1010.00	$167.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	147	141	$20.00	$9.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	115	$204.41	$100.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$299.51	$139.44
20610 Aspiration and/or injection of fluid from large joint	81	78	$162.99	$48.36
29827 Repair of shoulder rotator cuff using an endoscope	23	22	$1976.00	$1055.57
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	23	22	$1526.00	$172.31
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$140.38	$68.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	103	$194.19	$103.74
73030 X-ray of shoulder, minimum of 2 views	123	121	$19.45	$9.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$292.06	$142.17
20610 Aspiration and/or injection of fluid from large joint	79	74	$157.72	$49.45
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$134.20	$70.86
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$1931.29	$1077.38
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$1494.76	$166.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	116	108	$18.96	$10.00
99213 Established patient office or other outpatient visit, typically 15 minutes	114	96	$126.88	$54.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$192.79	$80.23
20610 Aspiration and/or injection of fluid from large joint	50	47	$170.92	$51.31
29827 Repair of shoulder rotator cuff using an endoscope	25	24	$1900.00	$1127.91
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	23	23	$1467.00	$186.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$186.45	$83.92
73030 X-ray of shoulder, minimum of 2 views	14	14	$19.00	$9.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	175	134	$114.59	$53.30
73030 X-ray of shoulder, minimum of 2 views	116	112	$18.00	$9.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$185.00	$80.50
20610 Aspiration and/or injection of fluid from large joint	70	69	$174.83	$50.95
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$1829.64	$1153.44
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$1410.00	$195.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$168.80	$81.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	174	$136.14	$52.98
73030 X-ray of shoulder, minimum of 2 views	196	182	$19.63	$9.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$210.46	$80.38
20610 Aspiration and/or injection of fluid from large joint	92	81	$175.75	$50.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	73	$75.84	$26.42
29827 Repair of shoulder rotator cuff using an endoscope	50	50	$2212.00	$1131.28
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	50	50	$1168.08	$193.92
73020 X-ray of shoulder, 1 view	37	32	$17.89	$8.36
29823 Removal of extensive shoulder joint tissue using an endoscope	29	29	$1375.03	$205.52
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$133.95	$52.40
29828 Release of shoulder biceps tendon using an endoscope	12	12	$1663.42	$513.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	122	$158.85	$50.95
99213 Established patient office or other outpatient visit, typically 15 minutes	170	115	$156.30	$52.01
73030 X-ray of shoulder, minimum of 2 views	103	92	$23.00	$9.56
73030 X-ray of shoulder, minimum of 2 views	79	77	$23.00	$9.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	43	$235.00	$77.82
20610 Aspiration and/or injection of fluid from large joint	37	34	$186.95	$50.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$245.29	$79.23
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	30	30	$1000.00	$185.99
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$2555.00	$1112.89
20610 Aspiration and/or injection of fluid from large joint	29	27	$191.31	$49.40

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301064025

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbsm Group Pin

0H11016 (MI)

Hospital & Practice Group Affiliations

Iha Health Services Corporation

14650 E Old Us Hwy 12, Chelsea, MI 481181808

Phone: 7345935700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Cameron Patthanacharoenphon , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1073834339

Doctor of Medicine (M.D.)

Sienna Kotch , PA-C

Physician Assistant

NPI 1275201345

Physician Assistant (Certified)

Rebecca Turner , PA

Physician Assistant

NPI 1326127945

Physician Assistant

Dr. Robert Williams , MD

Orthopaedic Surgery

NPI 1407878093

Doctor of Medicine (M.D.)

Dr. Andrew Moore , MD

Orthopaedic Surgery

NPI 1437374931

Doctor of Medicine (M.D.)

Dr. Lawrence Jajou , DO

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1497370050

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 19, 2018

Registered at 14650 E. OLD US HWY 12, SUITE 105, CHELSEA, MI 48118 (Tel: 7345935700)

📍

Updated Business Mailing Address June 19, 2018

Registered at 24 FRANK LLOYD WRIGHT DR., LOBBY J2000, ANN ARBOR, MI 48106 (Tel: 7345935700)

✅

NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2013

Registered at 775 S MAIN ST, CHELSEA, MI 481181383 (Tel: 7345935700)

📍

Updated Business Mailing Address November 06, 2013

Registered at 775 S MAIN ST, CHELSEA, MI 481181383 (Tel: 7345935700)

👤

Provider Name / Credentials Updated November 06, 2013

Recorded as MARK PINTO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

Orthopaedic Surgery (License #4301064025 in MI)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033228903

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: June 19, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24 Frank Lloyd Wright Dr., Lobby J2000

Ann Arbor, MI 48106

Phone: 7345935700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.