DR. WILLIAM JEFFREY CHARLTON M.D.
NPI 1609884311
Family Medicine in Virginia Beach, VA
NPI Status: Active since August 04, 2006
Contact Information
1120 FIRST COLONIAL RD
SUITE 100
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 481-2333
Fax: (757) 481-1037
- Individual
- Male
- Years of Experience 43
- Family Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM CHARLTON
This page provides the complete NPI Profile along with additional information for William Charlton, a primary care provider established in Virginia Beach, Virginia with a medical specialization in Family Medicine and more than 43 years of experience. He graduated from Virginia Commonwealth University, School Of Medicine in 1983. The healthcare provider is registered in the NPI registry with number 1609884311 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 0101036824 (VA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1609884311
- Provider Name
- DR. WILLIAM JEFFREY CHARLTON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454
- Location Phone
- (757) 481-2333
- Location Fax
- (757) 481-1037
- Mailing Address
- 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454
- Mailing Phone
- (757) 481-2333
- Mailing Fax
- (757) 481-1037
- Medical School Name
- VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
- Graduation Year
- 1983
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-04-2006
- Last Update Date
- 12-01-2010
- Code Navigator
A primary care provider (PCP) like William Charlton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101036824
- License State
- VA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B05459 | MEDICARE UPIN (02) | VA | |
| 080001196 | MEDICARE ID-TYPE UNSPECIFIED (04) | VA | |
| 5696011 | MEDICAID (05) | VA |
Medicare Participation & PECOS Enrollment Status
William Charlton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
William Charlton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789711920
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100420001038
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
3 DME suppliers used 12 Medicare Claims 66 Services Paid
DME-Other DME (DE000N)
Transport chair, adult size, patient weight capacity up to and including 300 pounds (HCPCS:E1038)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Annual depression screening, 15 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Injection of drug or substance under skin or into muscle
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
Removal of impacted ear wax by washing
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Transitional care management services for problem of high complexity
Transitional care management services for problem of moderate complexity
X-ray of chest, 2 views
X-ray of hip, 2-3 views
X-ray of lower and sacral spine, 2-3 views
X-ray of shoulder, minimum of 2 views
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
This service was performed 17 times for 17 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 290 times for 290 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 641 times for 543 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 941 times for 608 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 15 times for 15 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 25 times for 22 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 28 times for 16 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 30 times for 26 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 69 times for 62 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 24 times for 21 patientsAn Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
This service was performed 21 times for 21 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 39 times for 15 patientsThis service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
This service was performed 72 times for 13 patientsRemote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
This service was performed 16 times for 16 patientsThis service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
This service was performed 59 times for 11 patientsImpacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
This service was performed 17 times for 17 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 41 times for 39 patientsTransitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
This service was performed 19 times for 18 patientsTransitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
This service was performed 15 times for 15 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 78 times for 76 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 12 times for 12 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 19 times for 19 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.72 for a new patient copayment and $24.78 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 23454 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.88
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.72
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.13
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $24.78
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 87% | 8797 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 80% | 569 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Medication Reconciliation | 97% | 1633 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 63% | 4725 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 100% | 4648 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 47% | 4648 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. William Charlton is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR NORFOLK, VA 23507 | (757) 388-3000 | Acute Care Hospitals | |
| SENTARA LEIGH HOSPITAL | 830 KEMPSVILLE ROAD NORFOLK, VA 23502 | (757) 261-6700 | Acute Care Hospitals | |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 1060 FIRST COLONIAL ROAD VIRGINIA BEACH, VA 23454 | (757) 395-8000 | Acute Care Hospitals | |
| SENTARA PRINCESS ANNE HOSPITAL | 2025 GLENN MITCHELL DRIVE VIRGINIA BEACH, VA 23456 | (757) 507-1520 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 8 | 8 | 4 | 3 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 16 | 8 | 8 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 6 + 8 + 8 + 3 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1609884311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053396093 | GEORGE MARSHALL KEMP MD Individual | Obstetrics & Gynecology (Gynecology) | 1120 FIRST COLONIAL RD SUITE 202 VIRGINIA BEACH, VA 23454 (757) 481-0327 |
| 1518930700 | MRS. NICOLE YVONNE HORN PAC Individual | Physician Assistant (Medical) | 1120 FIRST COLONIAL RD SUITE100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1003824764 | DR. GEORGE BULLARD JR. M.D. Individual | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1396753133 | DR. JOSEPH KILLEN JR. M.D. Individual | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1639187354 | DR. THOMAS JONES M.D. Individual | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1902815616 | DR. MARY PICARDI M.D. Individual | Specialist | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1821007550 | DR. THOMAS SAMARAS M.D. Individual | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1235148990 | DR. BRADLEY TENNANT M.D. Individual | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1497764138 | DR. HOWARD CLAYTON SMITH JR. M.D. Individual | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1891705034 | DR. ROBERT WOODARD M.D. Individual | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1275649139 | DR. GERDI KELSEY M.D. Individual | Specialist | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1336231455 | MR. B WARREN PECHAN MD Individual | Urology | 1120 FIRST COLONIAL RD SUITE 200 VIRGINIA BEACH, VA 23454 (757) 481-9009 |
| 1740345149 | COASTAL SURGICAL SPECIALISTS, PC Organization | Specialist | 1120 FIRST COLONIAL RD SUITE 203 VIRGINIA BEACH, VA 23454 (757) 481-4424 |
| 1366625048 | GEORGE M KEMP MD PC Organization | Obstetrics & Gynecology (Gynecology) | 1120 FIRST COLONIAL RD SUITE 202 VIRGINIA BEACH, VA 23454 (757) 481-0327 |
| 1578733523 | MELISSA TIGNOR SHEARER FNP-C Individual | Nurse Practitioner (Family) | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1942457874 | JENNIFER C KALB PA Individual | Physician Assistant (Medical) | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1326378746 | KATHARINE K MALBON PA Individual | Physician Assistant (Medical) | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1568717130 | TYLER VOLPE Individual | Physician Assistant (Medical) | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1528175254 | FIRST COLONIAL FAMILY PRACTICE CENTER, INC Organization | Family Medicine | 1120 FIRST COLONIAL RD SUITE 100 VIRGINIA BEACH, VA 23454 (757) 481-2333 |
| 1891113155 | TIDEWATER REHABILITATION MEDICINE Organization | Physical Medicine & Rehabilitation (Pain Medicine) | 1120 FIRST COLONIAL RD SUITE 206 VIRGINIA BEACH, VA 23454 (757) 496-2325 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609884311, enumerated in the NPI registry as an "individual" on August 04, 2006
The provider is located at 1120 First Colonial Rd Suite 100 Virginia Beach, Va 23454 and the phone number is (757) 481-2333
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 43 years of experience. He graduated from Virginia Commonwealth University, School Of Medicine in 1983.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $99.13 and an average copayment of 24.78. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Annual depression screening, 15 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment, Injection of drug or substance under skin or into muscle, Management using the results of remote vital sign monitoring per calendar month, first 20 minutes, Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment, Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days, Removal of impacted ear wax by washing, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Transitional care management services for problem of high complexity, Transitional care management services for problem of moderate complexity, X-ray of chest, 2 views, X-ray of hip, 2-3 views, X-ray of lower and sacral spine, 2-3 views and X-ray of shoulder, minimum of 2 views.
The practitioner is affiliated to the following hospital(s): SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL and SENTARA PRINCESS ANNE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.