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ERIKA J. STRUBLE M.D.
NPI 1114907359
Internal Medicine - Hematology & Oncology in Charlottesville, VA

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911(434) 654-8390(434) 654-8399 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2024, Jul 3, 2018, Feb 14, 2017 (3 updates tracked since 2017).

About Erika J. Struble M.d. NPPES

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

ERIKA J. STRUBLE M.D. (NPI 1114907359) is an individual hematology & oncology provider in Charlottesville, Virginia, licensed in Virginia (0101251352) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Rockingham.

NPPES Registry Identity

NPI1114907359
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameERIKA J. STRUBLECredential: M.D.
Location Address500 MARTHA JEFFERSON DRCharlottesville, VA 22911
Mailing Address2008 Health Campus DrRockingham, VA 22801-8679 · (540) 689-7000
Phone(434) 654-8390
Fax(434) 654-8399
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1999
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1114907359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in VA · 0101251352
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101251352 (VA)
500 MARTHA JEFFERSON DR, Charlottesville, VA 22911
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Secondary Practice Location 1

Location 12008 Health Campus DrRockingham, VA 22801-8679 · Phone (540) 689-7000

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

Erika J. Struble M.d. 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 ID6002091105
PECOS Enrollment IDI20120705000324
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 5

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.
273 services162 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.
160 services128 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
125 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

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.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers27 claims2,378 services$0.66 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers16 claims16 services$19.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers23 claims23 services$12.75 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.

JEFFREY CHING-KWEI MAI MD, PHD
Neurological Surgery
500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5260
MRS. STEPHANIE RICHARDSON WILHELM CRNP
Nurse Practitioner (Family)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7150
ALISON BURKHOLDER HEAVENRIDGE NP
Nurse Practitioner (Gerontology)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7580
DR. NORMAN A. BRENBRIDGE MD
Radiology (Diagnostic Radiology)
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-4580
MAIRIN SMITH MD
Emergency Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7154
SCOTT CAMPBELL
Urology
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5260
MELISSA VOLPE PA-C
Physician Assistant
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7000
JOHN PHILLIP ROSS PEMBERTON MD
Internal Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-7000

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 Erika Struble's NPI number?

The NPI number for Erika Struble is 1114907359. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Erika Struble located?

Erika Struble practices at 500 Martha Jefferson Dr, Charlottesville, VA 22911. The listed phone number is (434) 654-8390.

What is Erika Struble's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Erika Struble enrolled in Medicare?

Yes. Erika Struble 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 Erika Struble affiliated with any hospitals?

According to CMS data, Erika Struble is affiliated with Sentara Rmh Medical Center, Sentara Martha Jefferson Hospital and Page Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Erika Struble was last updated on January 4, 2024. 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.