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SARA A. HENNESSY M.D.
NPI 1003020264
Surgery in Culpeper, VA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
541 SUNSET LN, SUITE 303, CULPEPER, VA 22701(540) 825-2600(540) 825-4026 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sara A. Hennessy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA A. HENNESSY M.D. (NPI 1003020264) is an individual surgery provider in Culpeper, Virginia, licensed in Virginia (0101254029) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of University Of Virginia School Of Medicine (2002).

NPPES Registry Identity

NPI1003020264
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSARA A. HENNESSYCredential: M.D.
Location Address541 SUNSET LN, SUITE 303Culpeper, VA 22701-3979
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(540) 825-2600
Fax(540) 825-4026
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2002
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 4, 2013
✔ NPI 1003020264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101254029
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116018514 (VA)
541 SUNSET LN, Culpeper, VA 22701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara A. Hennessy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597990135
PECOS Enrollment IDI20151009000657
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-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.
67 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-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.
22 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
19 services16 patients
Insertion of stomach tube using a flexible endoscope 43246
This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE RIDGE GYNECOLOGY & WELLNESS,INC
Obstetrics & Gynecology
541 SUNSET LN, SUITE 301
CULPEPER, VA 22701
Culpeper County (540) 825-4557
ELENA G. SAYKALY P.A.
Physician Assistant (Surgical)
541 SUNSET LN, SUITE 103
CULPEPER, VA 22701
Culpeper County (540) 825-2600
DR. JONATHAN M BIGWOOD MD
Pediatrics
541 SUNSET LN
CULPEPER, VA 22701
Culpeper County (540) 829-4114
KARL MARTIN BEIER M.D.
Phlebology
541 SUNSET LN, SUITE 302
CULPEPER, VA 22701
Culpeper County (540) 825-8550
DR. ROBERT GOLUB M.D.
Specialist
541 SUNSET LN, SUITE 303
CULPEPER, VA 22701
Culpeper County (540) 825-2600
KEVIN D STOCKER M.D.
Obstetrics & Gynecology
541 SUNSET LN, STE 103
CULPEPER, VA 22701
Culpeper County (540) 321-3002
MISTY R SHOEMAKER DO
Obstetrics & Gynecology
541 SUNSET LN, # 301
CULPEPER, VA 22701
Culpeper County (540) 825-4557
MARK B. GLOUDEMAN M.D.
Surgery
541 SUNSET LN, SUITE 103
CULPEPER, VA 22701
Culpeper County (540) 825-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Hennessy's NPI number?

The NPI number for Sara Hennessy is 1003020264. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Sara Hennessy located?

Sara Hennessy practices at 541 Sunset Ln Suite 303, Culpeper, VA 22701. The listed phone number is (540) 825-2600.

What is Sara Hennessy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sara Hennessy enrolled in Medicare?

Yes. Sara Hennessy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sara Hennessy accept?

Health plans from Blue Cross and Blue Shield of Texas list Sara Hennessy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sara Hennessy affiliated with any hospitals?

According to CMS data, Sara Hennessy is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Sara Hennessy was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.