DR. NEAL S GAITHER MD
NPI 1003811563
Internal Medicine - Interventional Cardiology in Winchester, VA

Q: What is Neal Gaither's NPI number?

The NPI number for Neal Gaither is 1003811563. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is Neal Gaither's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Neal Gaither was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment

1880 AMHERST STREET, SUITE 100 AND SUITE 200, WINCHESTER, VA 22601(540) 662-0306(855) 264-2066 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2021, Jun 17, 2021, Mar 13, 2021 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Neal S Gaither Md NPPES

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

DR. NEAL S GAITHER MD (NPI 1003811563) is an individual interventional cardiology provider in Winchester, Virginia, licensed in Virginia (0101047289) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1003811563

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. NEAL S GAITHERCredential: MD

Location Address1880 AMHERST STREET, SUITE 100 AND SUITE 200Winchester, VA 22601-2872

Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235

Phone(540) 662-0306

Fax(855) 264-2066

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1980

Enumeration DateJune 20, 2005

Last NPPES UpdateSeptember 14, 20215 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1003811563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in VA · 0101047289✔ Licensed in WV · 16632

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

1880 AMHERST STREET, Winchester, VA 22601

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1759 S Main StWoodstock, VA 22664-1154 · Phone (540) 459-1100 · Fax (540) 459-1121

Location 2351 Valley Health Way # 200Front Royal, VA 22630-6480 · Phone (540) 636-0600 · Fax (540) 636-0629

Location 31 Healthy WayBerkeley Springs, WV 25411-7463 · Phone (304) 258-1234 · Fax (304) 258-7422

Location 4200 Memorial DrLuray, VA 22835-1000 · Phone (540) 743-4561 · Fax (540) 743-9560

Other Identifiers 10

Other082425Southern Health

Other502795Ncppo

Medicaid754451100MD

OtherC00075VA · Medicare Group

Medicaid006048463VA

Other030780VA · Anthem Bcbs

Medicaid0074126000WV

Other44242Communityhealth Sentara

Other2119573Mamsi

Other9318661WV · Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neal S Gaither Md 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 ID4981507407

PECOS Enrollment IDI20090722000001, I20100315000807

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.

Medicare Billing Reassignments

Medicare enrollment records show Neal Gaither reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Physician Enterprise, Inc.

Same address

Cardiovascular Disease

1880 AMHERST STREET
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
386 clinicians in this Medicare group

NPI 1366944670 (540) 662-0306

Winchester Medical Center

Same address

Obstetrics & Gynecology

1870 AMHERST ST STE 2E
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
756 clinicians in this Medicare group

NPI 1467218909 (540) 667-4546

East Mountain Health Physicians, Inc.

14 mi

Rural Health

4803 GERRARDSTOWN RD
Inwood, WV 25428

Reassigned Medicare billing, West Virginia enrollment
135 clinicians in this Medicare group

NPI 1033681150 (304) 821-9011

Shenandoah Memorial Hospital, Inc.

15 mi

Family Medicine

33699 OLD VALLEY PIKE STE D
Strasburg, VA 22657

Reassigned Medicare billing, Virginia enrollment
Also billed through NPI 1033166442 (Virginia)
416 clinicians in this Medicare group

NPI 1710494331 (540) 459-1410

Warren Memorial Hospital, Inc.

16 mi

Rural Health

67 RIVERTON COMMONS DR
Front Royal, VA 22630

Reassigned Medicare billing, Virginia enrollment
367 clinicians in this Medicare group

NPI 1417447871 (540) 635-0848

Page Memorial Hospital, Inc.

18 mi

Rural Health

625 VIRGINIA AVE
Front Royal, VA 22630

Reassigned Medicare billing, Virginia enrollment
Also billed through NPI 1326040684 (Virginia)
364 clinicians in this Medicare group

NPI 1083236970 (540) 635-7991

War Memorial Hospital, Inc.

25 mi

Critical Access

1 HEALTHY WAY
Berkeley Springs, WV 25411

Reassigned Medicare billing, West Virginia enrollment
158 clinicians in this Medicare group

NPI 1467450353 (304) 258-1234

Hampshire Memorial Hospital, Inc.

29 mi

Critical Access

363 SUNRISE BLVD
Romney, WV 26757

Reassigned Medicare billing, West Virginia enrollment
26 clinicians in this Medicare group

NPI 1396897203 (304) 822-4561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 24

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,498 services1,243 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.

313 services279 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An 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.

305 services283 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

185 services185 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

167 services163 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.

106 services103 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.

105 services74 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

90 services89 patients

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.

86 services65 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This 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.

62 services52 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial 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.

44 services44 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

33 services29 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

32 services31 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

32 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial 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.

32 services32 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

29 services29 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

22 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-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.

20 services18 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

18 services18 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

17 services17 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

17 services17 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

16 services15 patients

Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456

This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.

14 services14 patients

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel 92941

This procedure involves removing plaque, a substance that can block your blood vessels, and any blood clots. A stent, a tiny tube, may be inserted to keep the vessel open. If necessary, a balloon is inflated to widen the vessel, aiding blood flow.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number491307

Location200 Memorial DriveLuray, VA 22835 · Page County

Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511309

Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. RAVEEN CHAWLA M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

DR. MANISH J LAKHANI M.D.

Internal Medicine (Cardiovascular Disease)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

AMANDA KIMBERLY ROSS AG-ANCP

Nurse Practitioner (Family)

1880 AMHERST STREET, SUITE 100 & SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

DR. BIANCA REBECCA WESBROOK PA-C

Physician Assistant

1880 AMHERST STREET, SUITE 300
WINCHESTER, VA 22601

Winchester City (540) 536-6721

POGHNI A PERI-OKONNY MD

Internal Medicine (Interventional Cardiology)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

JEFFREY A SKILES MD

Internal Medicine (Cardiovascular Disease)

1880 AMHERST STREET, SUITE 100
WINCHESTER, VA 22601

Winchester City (540) 662-0306

DR. MARION TIMOTHY WELLS MD

Internal Medicine (Cardiovascular Disease)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

MRS. LINDSEY MICHELLE PRESCHER D.O.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1880 AMHERST STREET, SUITE 310
WINCHESTER, VA 22601

Winchester City (540) 536-6721

MS. LAUREN ELIZABETH RITZ PA-C

Physician Assistant

1880 AMHERST STREET, SUITE 300
WINCHESTER, VA 22601

Winchester City (540) 536-6721

SHARON LEE SAVINSKY FNP-BC

Nurse Practitioner (Family)

1880 AMHERST STREET, SUITE 310
WINCHESTER, VA 22601

Winchester City (540) 536-6721

DR. DANIEL V ALEXANDER D.O.

Internal Medicine (Clinical Cardiac Electrophysiology)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

JAMES DIXON BROWN MD

Internal Medicine (Interventional Cardiology)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

DR. ALFRED PROTO M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1880 AMHERST STREET, SUITE 310
WINCHESTER, VA 22601

Winchester City (540) 536-6721

RANDOLPH H RENZI MD

Internal Medicine (Interventional Cardiology)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

MRS. ZALWONAKA LESHELLE GAINER ARNP

Nurse Practitioner (Adult Health)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

KASHMALA NAZ

Physician Assistant

1880 AMHERST STREET, SUITE 100
WINCHESTER, VA 22601

Winchester City (540) 662-0306

IDEAN AMIRJAZIL

Internal Medicine (Cardiovascular Disease)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

VALLEY PHYSICIAN ENTERPRISE, INC.

Internal Medicine (Cardiovascular Disease)

1880 AMHERST STREET
WINCHESTER, VA 22601

Winchester City (540) 662-0306

HANNA-NICOLE STANLEY PA

Physician Assistant

1880 AMHERST STREET, SUITE 300
WINCHESTER, VA 22601

Winchester City (540) 536-6721

ADEBAYO CHRISTIAN ATANDA MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

1880 AMHERST STREET, SUITE 100 AND SUITE 200
WINCHESTER, VA 22601

Winchester City (540) 662-0306

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 Neal Gaither's NPI number?

The NPI number for Neal Gaither is 1003811563. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Neal Gaither located?

Neal Gaither practices at 1880 Amherst Street Suite 100 And Suite 200, Winchester, VA 22601. The listed phone number is (540) 662-0306.

What is Neal Gaither's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Neal Gaither enrolled in Medicare?

Yes. Neal Gaither 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.

Which organizations bill Medicare for Neal Gaither's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neal Gaither reassigns Medicare benefits to 8 organizations: Valley Physician Enterprise, Inc. (Winchester, VA), Winchester Medical Center (Winchester, VA), East Mountain Health Physicians, Inc. (Inwood, WV), Shenandoah Memorial Hospital, Inc. (Strasburg, VA), Warren Memorial Hospital, Inc. (Front Royal, VA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neal Gaither's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neal Gaither accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Neal Gaither 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 Neal Gaither affiliated with any hospitals?

According to CMS data, Neal Gaither is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Page Memorial Hospital, Inc and Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Neal Gaither was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.