RACHEL HALINA KON MD
NPI 1083860076
Internal Medicine in Charlottesville, VA

Active since August 11, 2008PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rachel Halina Kon Md NPPES

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

RACHEL HALINA KON MD (NPI 1083860076) is an individual internal medicine provider in Charlottesville, Virginia, licensed in Virginia (0101245936) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2007).

NPPES Registry Identity

NPI1083860076
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRACHEL HALINA KONCredential: MD
Location Address1222 JEFFERSON PARK AVECharlottesville, VA 22903-3410
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 244-4451
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2007
Enumeration DateAugust 11, 2008
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
NPI 1083860076 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 · 0101245936
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.
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

Rachel Halina Kon Md 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 ID5496933558
PECOS Enrollment IDI20150904000780
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 3

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.
183 services131 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
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.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg 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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers14 claims30 services$5.80 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 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
Nurse Practitioner (Family)
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Podiatrist
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 Rachel Kon's NPI number?

The NPI number for Rachel Kon is 1083860076. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Rachel Kon located?

Rachel Kon practices at 1222 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-1931.

What is Rachel Kon's specialty?

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

Is Rachel Kon enrolled in Medicare?

Yes. Rachel Kon 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 Rachel Kon affiliated with any hospitals?

According to CMS data, Rachel Kon is affiliated with University Of Virginia Medical Center and Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Kon was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.