CARLA B GALBREATH FNP
NPI 1053680728
Nurse Practitioner - Family in Charlottesville, VA

Active since December 23, 2011PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 982-3040(434) 245-3535 Get Directions Write a Review

NPPES record last updated: November 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carla B Galbreath Fnp NPPES

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

CARLA B GALBREATH FNP (NPI 1053680728) is an individual family provider in Charlottesville, Virginia, licensed in Virginia (0024169613) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053680728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA B GALBREATHCredential: FNP
Location Address1222 JEFFERSON PARK AVECharlottesville, VA 22903-3410
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 245-3535
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 23, 2011
Last NPPES UpdateNovember 18, 2023
NPPES CertifiedNovember 18, 2023
NPI 1053680728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024169613
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0024169613 (VA)
1222 JEFFERSON PARK AVE, Charlottesville, VA 22903

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

Carla B Galbreath Fnp 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 ID547493538
PECOS Enrollment IDI20231211003763
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 2

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.

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.
123 services114 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Internal Medicine
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dentist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Podiatrist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Internal Medicine
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Physician Assistant
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dentist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Internal Medicine
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903

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 Carla Galbreath's NPI number?

The NPI number for Carla Galbreath is 1053680728. It was assigned to this individual provider in the NPPES registry on December 23, 2011.

Where is Carla Galbreath located?

Carla Galbreath practices at 1222 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 982-3040.

What is Carla Galbreath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carla Galbreath enrolled in Medicare?

Yes. Carla Galbreath 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.

Is Carla Galbreath affiliated with any hospitals?

According to CMS data, Carla Galbreath is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Carla Galbreath was last updated on November 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.