JOHN PHILLIP ROSS PEMBERTON MD
NPI 1043964794
Internal Medicine in Charlottesville, VA
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 and is a graduate of Ohio State University College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Phillip Ross Pemberton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Phillip Pemberton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
CHARLOTTESVILLE, VA 22911
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.
Which organization bills Medicare for John Phillip Pemberton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Phillip Pemberton reassigns Medicare benefits to Emergency Medicine Associates P.A., P.C. (Culpeper, VA). The 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 John Phillip Pemberton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 months 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.
# John Phillip Ross Pemberton, MD · NPI 1043964794
Internal Medicine physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since February 10, 2022.
## Identity
- **NPI:** 1043964794 (Entity type: Individual)
- **Enumerated:** February 10, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101288612 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 MARTHA JEFFERSON DR, Charlottesville, VA 22911-4668
- **Phone:** (434) 654-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Medicine Associates P.A., P.C. (NPI 1881559102, Culpeper, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043964794) · Data from the CMS NPPES public registry.