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KATHLEEN MCEWAN PELKOFSKI CANP
NPI 1073507034
Nurse Practitioner - Adult Health in Purcelville, VA

Active since September 07, 2005PECOS Enrolled
92.61/100
CMS Quality Rating
205 E. HIRST ROAD, SUITE 203, PURCELVILLE, VA 20132(540) 751-0255(540) 751-0466 Get Directions Write a Review

NPPES record last updated: December 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2023, Nov 29, 2022, Oct 28, 2022 and 1 more (4 updates tracked since 2022).

About Kathleen Mcewan Pelkofski Canp NPPES

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

KATHLEEN MCEWAN PELKOFSKI CANP (NPI 1073507034) is an individual adult health provider in Purcelville, Virginia, licensed in Virginia (0024056702) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073507034
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN MCEWAN PELKOFSKICredential: CANP
Location Address205 E. HIRST ROAD, SUITE 203Purcelville, VA 20132-6600
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(540) 751-0255
Fax(540) 751-0466
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateDecember 10, 20234 updates tracked since enumeration
NPPES CertifiedDecember 10, 2023
✔ NPI 1073507034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in VA · 0024056702
205 E. HIRST ROAD, SUITE 203, Purcelville, VA 20132
Open in Google Maps ↗

Other Identifiers 3

Medicaid1073507034VA
Other500012018VA · Rr Medicare Pin
Medicaid30015473310002VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Mcewan Pelkofski Canp 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 Reassignment

Medicare enrollment records show Kathleen Pelkofski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Loudoun Medical Group, PC
Same address
Family Medicine
205 E. HIRST ROAD, SUITE 303
Purcellville, VA 20132
  • Reassigned Medicare billing, Virginia enrollment
  • 291 clinicians in this Medicare group
NPI 1104950716 (540) 338-9896

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

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 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.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20132 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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims24 services$6.02 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers12 claims12 services$27.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers18 claims18 services$44.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims76 services$1.71 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims18 services$195.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MARIA MICHELLE SORIANO
Nurse Practitioner (Family)
205 E. HIRST ROAD, SUITE 203
PURCELLVILLE, VA 20132
Loudoun County (540) 751-0255
LOUDOUN MEDICAL GROUP, PC
Internal Medicine
205 E. HIRST ROAD, SUITE 203
PURCELLVILLE, VA 20132
Loudoun County (540) 751-0255
MARK RICHARD RUGARBER FNP
Nurse Practitioner (Family)
205 E. HIRST ROAD, SUITE 203
PURCELLVILLE, VA 20132
Loudoun County (540) 751-0255
ANNETTE MARIE HUDLER DO
Internal Medicine
205 E. HIRST ROAD, SUITE 203
PURCELLVILLE, VA 20132
Loudoun County (540) 751-0255

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 Kathleen Pelkofski's NPI number?

The NPI number for Kathleen Pelkofski is 1073507034. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Kathleen Pelkofski located?

Kathleen Pelkofski practices at 205 E. Hirst Road, Suite 203, Purcelville, VA 20132. The listed phone number is (540) 751-0255.

What is Kathleen Pelkofski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathleen Pelkofski enrolled in Medicare?

Yes. Kathleen Pelkofski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Pelkofski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Pelkofski reassigns Medicare benefits to Loudoun Medical Group, PC (Purcellville, 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 Kathleen Pelkofski'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 Kathleen Pelkofski was last updated on December 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.