Active NPI 1497017727 Individual Practitioner Male Practitioner

Dr. Gerson O Pineda , MD

Surgery • Frisco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gerson Pineda, MD is a certified Surgery practicing in Frisco, TX. With approximately 14 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2012, Dr. Pineda delivers high-quality medical care to the local community at 12530 LEBANON RD STE 205.

Dr. Pineda accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, fusion of spine bones with removal of disc at lower spinal column, anterior approach, fusion of spine bones through front of body with partial removal of disc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12530 Lebanon Rd Ste 205

Frisco, TX 750359473

Telephone 2142695353

Fax 2142695354

Associated Practice Facility / Clinic

🏢 Donald N Reed Jr, Md Pllc Facility NPI 1316434384

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Frisco, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -11.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Frisco, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pineda (14 Years) 14 Yrs

Frisco Specialty Average (25.5 Years) 25.5 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	113	$1200.00	$164.07
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	110	109	$28000.00	$636.01
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	75	61	$6592.00	$194.83
50715 Release of scar tissue at urinary duct (ureter)	68	68	$12048.00	$1145.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$430.00	$72.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	93	$1200.00	$170.34
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	90	90	$28311.11	$623.21
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	84	54	$6532.10	$194.52
50715 Release of scar tissue at urinary duct (ureter)	60	60	$12048.00	$1174.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	121	119	$27702.48	$567.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	112	$1200.00	$193.83
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	109	70	$6555.27	$192.69
50715 Release of scar tissue at urinary duct (ureter)	92	92	$12015.96	$1152.29
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	75	33	$13999.85	$49.83
22226 Incision or removal of spine bone segment and removal of disc, each additional segment	33	16	$4818.15	$55.12
22224 Incision of spine bone with removal of disc material at lower spinal column	16	16	$18375.00	$248.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$1000.00	$130.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	37	$430.00	$69.79
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	59	33	$14999.47	$39.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$1200.00	$197.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	52	$1000.00	$132.17
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	49	49	$28000.00	$666.31
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	49	35	$6591.67	$196.71
50715 Release of scar tissue at urinary duct (ureter)	38	38	$12999.16	$979.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	37	$430.00	$72.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	55	$983.05	$138.36
50715 Release of scar tissue at urinary duct (ureter)	44	44	$12048.00	$287.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$1185.19	$204.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	28	$322.67	$70.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$807.14	$133.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	18	$162.48	$104.87
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$103.18	$98.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$320.82	$160.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	53	$136.00	$69.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	60	$155.05	$101.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$170.00	$131.03
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	32	31	$181.58	$17.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$234.00	$152.06
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	31	30	$2061.94	$327.99
76937 Ultrasonic guidance for blood vessel access	29	29	$68.05	$13.94
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$103.18	$96.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$188.00	$101.68
47562 Removal of gallbladder using an endoscope	20	20	$1346.00	$612.52
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	17	14	$84.83	$25.23
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1423.08	$656.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	21	$138.03	$67.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$170.00	$129.03

Medical Specialties & State Licenses

CMS Verified: 2026-03-30

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX R2200

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Julianne Santarosa , MD

Surgery

NPI 1023218021

Doctor of Medicine (M.D.)

Dr. Donald Reed , MD

Surgery - Trauma Surgery

NPI 1225076078

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

25 Historical Events

📍

Updated Practice Location March 30, 2026

Registered at 12530 LEBANON RD STE 205, FRISCO, TX 750359473 (Tel: 2142695353)

📍

Updated Business Mailing Address March 30, 2026

Registered at 12530 LEBANON RD STE 205, FRISCO, TX 750359473 (Tel: 2142695353)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2026

Surgery (License #R2200 in TX)

📍

Updated Practice Location September 20, 2022

Registered at 2301 MARSH LANE, SUITE 400, PLANO, TX 75093 (Tel: 2142695353)

📍

Updated Business Mailing Address September 20, 2022

Registered at 2301 MARSH LANE, SUITE 400, PLANO, TX 75093 (Tel: 2142695353)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2022

Surgery (License #EL191015 in ME)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2020

Surgery (License #R2200 in TX)

📍

Updated Business Mailing Address September 12, 2019

Registered at 9301 N CENTRAL EXPY STE 180A, DALLAS, TX 752310822 (Tel: 2142530170)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2019

Surgery (License #EL191015 in ME)

📍

Updated Practice Location August 29, 2019

Registered at 9301 N CENTRAL EXPY STE 180A, DALLAS, TX 752310822 (Tel: 2142530170)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2019

Surgery (License #MD23088 in ME)

📍

Updated Practice Location June 13, 2019

Registered at 46 FAIRVIEW AVE, SKOWHEGAN, ME 049761481 (Tel: 2074747045)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2019

Surgery (License #R2200 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2019

Surgery (License #EL191015 in ME)

✅

NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2017

Registered at 3480 COLLEGE ST, BEAUMONT, TX 777014612 (Tel: 4098131677)

📍

Updated Business Mailing Address December 11, 2017

Registered at 3480 COLLEGE ST, BEAUMONT, TX 777014612 (Tel: 4098131677)

👤

Provider Name / Credentials Updated December 11, 2017

Recorded as GERSON PINEDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Surgery (License #R2200 in TX)

✅

NPI Profile Active June 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2012

Registered at 925 E MCDOWELL RD, 2ND FL, PHOENIX, AZ 850062502 (Tel: 6028393339)

📍

Updated Business Mailing Address June 12, 2012

Registered at 925 E MCDOWELL RD, 2ND FL, PHOENIX, AZ 850062502 (Tel: 6028393339)

👤

Provider Name / Credentials Updated June 12, 2012

Recorded as GERSON PINEDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2012

Surgery (License #R73443 in AZ)

🟢

Initial NPI Registration & Enumeration June 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497017727

Entity Type:

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

Enumeration Date: June 12, 2012

Last Update: March 30, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12530 Lebanon Rd Ste 205

Frisco, TX 750359473

Phone: 2142695353

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.