Stephen J. Pineda, MD
Orthopaedic Surgery of the Spine Physician · Springfield, IL
Stephen J. Pineda, MD is an orthopaedic surgery of the spine physician with a practice address in Springfield, Illinois, and NPI 1528178654, issued on Aug 30, 2006. Check the license (Illinois 036-095441, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Stephen J. Pineda
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License number
- 036-095441 IL
Self-reported in NPPES; status is on the state search - Practice location
- 800 N. 1St St., Springfield, IL 62702
- Phone
- (217) 528-7541
- Enumerated
- Aug 30, 2006
- Record last updated
- May 20, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (217) 753-5854
- Medicaid ID
- 036095441 IL
- Medicare enrollment
- Enrolled (PECOS I20060118000609); accepts Medicare assignment
- Medical or professional school
- Columbia University College Of Physicians And Surgeons, 1990
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery of the spine physician records → All 68 in Illinois → Look up another NPI →
Verify Stephen J. Pineda in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-095441Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
73% fewer Medicare Part D claims than the average orthopaedic surgery of the spine physician in 2024
102 Medicare Part D claims for 56 beneficiaries, against an average of 381 among the 1,714 providers of this specialty who prescribed in Part D. 34 claims were for opioids.
Most prescribed
- Cephalexin40 claims
- Acetaminophen-Codeine25 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through 2 group practices
- Carle Health Care IncorporatedUrbana, IL
- Springfield Clinic, LLPLincoln, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stephen J. Pineda among 68 orthopaedic surgery of the spine physician records in Illinois
Stephen J. Pineda, MD is one of 68 orthopaedic surgery of the spine physician records with a practice address in Illinois. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 44% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1990 · median 2001 among the 47 with a school on file
- Record last updated2020 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0117X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery of the Spine Physician providers in Illinois
There are 68 orthopaedic surgery of the spine physician records in Illinois.
All 68 in Illinois → Every provider in Springfield → Orthopaedic Surgery of the Spine Physician nationwide →
The 8 orthopaedic surgery of the spine physician records with the nearest ZIP codes
- William Payne, M.D.Springfield, IL 627021740282847
- Christopher Graves, MDSpringfield, IL 627111235458399
- Timothy Vanfleet, MDSpringfield, IL 627111629057419
- Joseph Williams, MDSpringfield, IL 627111497794390
- Robert Dow, MDMount Vernon, IL 628641699272732
- Don Kovalsky, M.D.Mount Vernon, IL 628641700853272
- Philip Meinhardt, M.D.Quincy, IL 623011356592919
- Daniel Mulconrey, MDPeoria, IL 616141710914064
Common questions
What is Stephen J. Pineda, MD's NPI number?
Stephen J. Pineda, MD's National Provider Identifier (NPI) is 1528178654, issued on Aug 30, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Stephen J. Pineda, MD located?
The NPPES record lists a practice address at 800 N. 1St St., Springfield, IL, 62702. Phone: (217) 528-7541. Providers update this record themselves, so call before visiting.
How can I verify Stephen J. Pineda, MD's license?
NPPES lists Illinois license number 036-095441, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Stephen J. Pineda, MD prescribe under Medicare Part D?
In 2024, Stephen J. Pineda, MD had 102 Medicare Part D claims for 56 beneficiaries; the average among orthopaedic surgery of the spine physician prescribers was 381. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.