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JOHN PHILLIP ROSS PEMBERTON MD
NPI 1043964794
Internal Medicine in Charlottesville, VA

Active since February 10, 2022PECOS Enrolled
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911(434) 654-7000 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2025, Jun 9, 2024, Apr 22, 2022 and 1 more (4 updates tracked since 2022).

About John Phillip Ross Pemberton Md NPPES

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

JOHN PHILLIP ROSS PEMBERTON MD (NPI 1043964794) is an individual internal medicine provider in Charlottesville, Virginia, licensed in Virginia (0101288612) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043964794
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN PHILLIP ROSS PEMBERTONCredential: MD
Location Address500 MARTHA JEFFERSON DRCharlottesville, VA 22911-4668
Mailing Address500 Martha Jefferson DrCharlottesville, VA 22911-4668 · (434) 654-7000
Phone(434) 654-7000
Sole ProprietorNo
Enumeration DateFebruary 10, 2022
Last NPPES UpdateJune 23, 20264 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1043964794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101288612
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 0101288612 (VA)
500 MARTHA JEFFERSON DR, Charlottesville, VA 22911
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Phillip Ross Pemberton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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.

JEFFREY CHING-KWEI MAI MD, PHD
Neurological Surgery
500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5260
MRS. STEPHANIE RICHARDSON WILHELM CRNP
Nurse Practitioner (Family)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7150
ALISON BURKHOLDER HEAVENRIDGE NP
Nurse Practitioner (Gerontology)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7580
DR. NORMAN A. BRENBRIDGE MD
Radiology (Diagnostic Radiology)
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-4580
MAIRIN SMITH MD
Emergency Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7154
SCOTT CAMPBELL
Urology
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5260
MELISSA VOLPE PA-C
Physician Assistant
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7000
JAMES R FREEMAN MD
Internal Medicine
500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5260

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 John Phillip Pemberton's NPI number?

The NPI number for John Phillip Pemberton is 1043964794. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is John Phillip Pemberton located?

John Phillip Pemberton practices at 500 Martha Jefferson Dr, Charlottesville, VA 22911. The listed phone number is (434) 654-7000.

What is John Phillip Pemberton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Phillip Pemberton enrolled in Medicare?

Yes. John Phillip Pemberton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Phillip Pemberton was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.