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CHARLES A STEIN MD
NPI 1053404855
Pediatrics in Culpeper, VA

Active since October 02, 2006PECOS Enrolled
16244 BENNETT RD, CULPEPER, VA 22701(540) 825-5381(540) 829-0945 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, May 22, 2019, Dec 16, 2015 (3 updates tracked since 2015).

About Charles A Stein Md NPPES

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

CHARLES A STEIN MD (NPI 1053404855) is an individual pediatrics provider in Culpeper, Virginia, licensed in Virginia (0101035398) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1053404855
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCHARLES A STEINCredential: MD
Location Address16244 BENNETT RDCulpeper, VA 22701-4630
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Phone(540) 825-5381
Fax(540) 829-0945
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1053404855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101035398
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
16244 BENNETT RD, Culpeper, VA 22701
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Secondary Practice Locations 4

Location 115237 Creativity DrCulpeper, VA 22701 · Phone (540) 321-4281 · Fax (540) 321-4282
Location 22503 S Seminole TrlMadison, VA 22727-2690 · Phone (540) 948-6871 · Fax (540) 948-6601
Location 3100 SAUNDERS STCULPEPER, VA 22701-3826 · Phone (540) 829-4900
Location 4541 Sunset Ln Ste 301Culpeper, VA 22701-3979 · Phone (540) 825-4557 · Fax (540) 825-4566

Other Identifiers 2

Medicaid1053404855VA
Medicaid6715818VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles A Stein 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Stein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group
44 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000
Privia Medical Group, LLC
53 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 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
$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 11

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

HANNAH E PARNAROUSKIS PA
Physician Assistant (Medical)
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381
MARY ALICE SHELTON PUTNAM MD
Pediatrics
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381
OSTRANDA L. WILLIAMS M.D.
Pediatrics
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381
DR. CHRISTAL L GUYANT M.D.
Pediatrics
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381
SUSAN J. WERNER M.D.
Pediatrics
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381
JANE RENEE HULL MD
Pediatrics
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381
CORNELIA A. PACZKOWSKI N.P.
Nurse Practitioner (Pediatrics)
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381
MRS. RAYNA M AMORENO PNP
Nurse Practitioner (Pediatrics)
16244 BENNETT RD
CULPEPER, VA 22701
Culpeper County (540) 825-5381

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 Charles Stein's NPI number?

The NPI number for Charles Stein is 1053404855. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Charles Stein located?

Charles Stein practices at 16244 Bennett Rd, Culpeper, VA 22701. The listed phone number is (540) 825-5381.

What is Charles Stein's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Charles Stein enrolled in Medicare?

Yes. Charles Stein is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Stein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Stein reassigns Medicare benefits to 2 organizations: University Of Virginia Physicians Group (Charlottesville, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Charles Stein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Stein accept?

Health plans from Oscar Health list Charles Stein 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.

When was this NPI record last updated?

The NPPES record for Charles Stein was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.