WILLIAM PINETTE (MD) – Surgery Physician, NPI 1114467545

WILLIAM PINETTE (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 35.136375 (OH). The NPI Number for WILLIAM PINETTE (MD) is 1114467545

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM PINETTE (MD)
NPI
1114467545
Phone
(702) 383-2000
Address
1800 W Charleston Blvd
Enumeration Date
4 March 2017
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7758858890
Graduation Year
2023 (3 years ago)
PAC ID
4284906678
Group Practice PAC ID
1153479027
Professional Enrollment ID
I20240604004237
Address ID
NV897031569CA704XXLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

309 GENERAL SURGERY in NV

Provider Addresses for WILLIAM PINETTE (MD)

  • 1800 W Charleston Blvd

    Las Vegas, NV 891022329

    Phone: (702) 383-2000

    Type: Location

  • 128, East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    WCHE 7TH FLOOR

    DAYTON, OH 454092902

    Phone: (937) 208-4953

    Type: Mailing

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-2273

    Type: Mailing

  • Wright-Patterson Medical Center, 4881, Sugar Maple Drive, Buckeye Trailer Court, Greene County, Ohio, 45433, United States

    WRIGHT PATTERSON AFB, OH 454335529

    Phone: (937) 257-0837

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Davol Inc. ($306).

Total Amount

$514

General + Research + Ownership

Payments

7

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240604004237IGeneral SurgeryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153479027View full group profile
NameSpecialtyState
P S Y C H I A T R YNE
U R O L O G YCA
Cardiovascular Disease (Cardiology), Internal MedicineNV
-NV
Psychiatry, Geriatric PsychiatryNC
Physician AssistantCA
Physician AssistantMT
-NV
-NV
-CA

Reviews

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Frequently asked questions

Is WILLIAM PINETTE (MD) listed with a National Provider Identifier?
Yes — WILLIAM PINETTE (MD) has NPI 1114467545 on file in the registry.
Would WILLIAM PINETTE (MD) appear as active to a payer?
You can treat WILLIAM PINETTE (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for WILLIAM PINETTE (MD)?
At a glance, WILLIAM PINETTE (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is WILLIAM PINETTE (MD) associated with Las Vegas?
Public fields place WILLIAM PINETTE (MD) around Las Vegas, Nevada. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for WILLIAM PINETTE (MD) is noted as March 4, 2017 where the registry provides it.

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