Active NPI 1164977013 Individual Practitioner Female Practitioner

Erika Pinto , PA-C

Physician Assistant • Berlin, MD

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Erika Pinto, PA-C is a certified Physician Assistant practicing in Berlin, MD. With approximately 10 years of clinical experience since completing medical education in 2016, Erika Pinto delivers high-quality medical care to the local community at 11103 CATHAGE RD.

Erika Pinto is affiliated with Tidalhealth Specialty Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11103 Cathage Rd

Berlin, MD 218112114

Telephone 4109126021

Associated Practice Facility / Clinic

🏢 Delmarva Endoscopy Center Llc Facility NPI 1922566066

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berlin, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -3.1 yrs vs City Avg

City Avg: 13.1 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Berlin, MD (3255 Statewide)

Telehealth Adoption Rate

30.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pinto (10 Years) 10 Yrs

Berlin Specialty Average (13.1 Years) 13.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	361	314	$182.96	$76.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	227	$257.88	$108.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$224.75	$95.05
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$145.32	$60.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$113.63	$48.19
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$182.38	$55.20
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$113.05	$29.37

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	260	231	$260.57	$110.63
99213 Established patient office or other outpatient visit, typically 15 minutes	197	183	$184.07	$78.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$228.86	$97.30
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$148.62	$61.85
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$183.97	$57.21
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$113.49	$30.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$115.90	$49.48

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	635	504	$265.83	$111.39
99213 Established patient office or other outpatient visit, typically 15 minutes	322	287	$188.75	$78.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$347.56	$146.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$233.47	$98.33
99442 Telephone medical discussion with physician, 11-20 minutes	20	20	$188.06	$63.16
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$116.56	$34.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	406	336	$189.64	$81.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	240	$244.79	$115.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$324.11	$148.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$233.36	$99.95
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	45	45	$50.00	$45.23
81002 Urinalysis, manual test	12	12	$25.00	$3.48

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	461	353	$140.00	$95.96
J0696 Injection, ceftriaxone sodium, per 250 mg	180	37	$35.00	$0.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$221.00	$145.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	76	$35.00	$12.54
87804 Detection test by immunoassay with direct visual observation for influenza virus	132	66	$30.00	$16.42
81002 Urinalysis, manual test	108	90	$25.00	$3.47
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	103	101	$50.00	$45.23
J1885 Injection, ketorolac tromethamine, per 15 mg	92	18	$15.00	$0.57
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	65	55	$30.00	$7.09
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	53	52	$25.00	$16.40
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$45.00	$15.09
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	11	11	$10.00	$0.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	11	11	$10.00	$0.04

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	103	84	$140.00	$94.43
99284 Emergency department visit with moderate level of medical decision making	79	79	$483.00	$102.10
J0696 Injection, ceftriaxone sodium, per 250 mg	57	14	$35.00	$0.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	28	$35.00	$14.53
87804 Detection test by immunoassay with direct visual observation for influenza virus	35	18	$30.00	$16.22
99283 Emergency department visit with low level of medical decision making	30	30	$255.00	$53.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$221.00	$143.14
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	26	24	$30.00	$6.79
81002 Urinalysis, manual test	24	21	$25.00	$3.41
99285 Emergency department visit for life threatening or functioning severity	22	21	$712.00	$150.30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$25.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	232	229	$483.00	$101.87
99283 Emergency department visit with low level of medical decision making	139	139	$255.00	$53.73
99285 Emergency department visit for life threatening or functioning severity	43	43	$712.00	$150.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	195	192	$483.00	$101.40
99283 Emergency department visit with low level of medical decision making	145	139	$255.00	$53.48
99285 Emergency department visit for life threatening or functioning severity	40	40	$712.00	$149.52

Medical Specialties & State Licenses

CMS Verified: 2021-02-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C0006195

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Tidalhealth Specialty Care Llc

11103 Cathage Rd, Berlin, MD 218112114

Phone: 4109126021

Tidalhealth Specialty Care Llc

100 E Carroll St, Salisbury, MD 218015422

Practice Associates & Co-Workers

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

2 Associated Practitioners

Valerie Botscheller , PA-C

Emergency Medicine

NPI 1649781030

Physician Assistant (Certified)

Dr. Mehak Bassi , MD

Internal Medicine - Gastroenterology

NPI 1942787486

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location February 16, 2021

Registered at 11103 CATHAGE RD, BERLIN, MD 218112114 (Tel: 4109126021)

📍

Updated Business Mailing Address February 16, 2021

Registered at 100 E CARROLL ST, SALISBURY, MD 218015422 (Tel: 4105466400)

📍

Updated Business Mailing Address March 26, 2019

Registered at 1122 RESDEN RUN, SALISBURY, MD 218048100 (Tel: 4107139244)

👤

Provider Name / Credentials Updated March 26, 2019

Recorded as ERIKA PINTO, PA-C

✅

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 22, 2016

Registered at 100 E CARROLL ST, SALISBURY, MD 218015422 (Tel: 4105437742)

📍

Updated Business Mailing Address August 22, 2016

Registered at 8916 NINEPIN BRANCH RD, BERLIN, MD 218112211 (Tel: 4107139244)

👤

Provider Name / Credentials Updated August 22, 2016

Recorded as ERIKA ANDERS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Physician Assistant (License #C0006195 in MD)

🟢

Initial NPI Registration & Enumeration August 22, 2016

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: 1164977013

Entity Type:

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

Enumeration Date: August 22, 2016

Last Update: February 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 E Carroll St

Salisbury, MD 218015422

Phone: 4105466400

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.