DAVID M PFEFFER M.D.
NPI 1124108600
Urology in Warrenton, VA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
410 HOSPITAL DR, WARRENTON, VA 20186(540) 347-1314(540) 347-0900 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David M Pfeffer M.d. NPPES

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

DAVID M PFEFFER M.D. (NPI 1124108600) is an individual urology provider in Warrenton, Virginia, licensed in Virginia (0101046240) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and is a graduate of Washington University School Of Medicine (1983).

NPPES Registry Identity

NPI1124108600
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID M PFEFFERCredential: M.D.
Location Address410 HOSPITAL DRWarrenton, VA 20186-3026
Mailing AddressPo Box 748613Atlanta, GA 30374-8613 · (434) 295-1000 · Fax (540) 825-0644
Fax(540) 347-0900
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1983
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1124108600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VA · 0101046240
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
410 HOSPITAL DR, Warrenton, VA 20186

Other Identifiers 1

Medicaid7540582VA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David M Pfeffer 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 ID840196325
PECOS Enrollment IDI20060419000604
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

3

Medicare enrollment records show David Pfeffer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
428 HOSPITAL DR
Warrenton, VA 20186
  • Reassigned Medicare billing, Virginia enrollment
  • 584 clinicians in this Medicare group
Orthopaedic Surgery
52 W. SHIRLEY AVE
Warrenton, VA 20186
  • Reassigned Medicare billing, Virginia enrollment
  • 46 clinicians in this Medicare group
Rural Health
111 FASHION RD STE D
Pounding Mill, VA 24637
  • Reassigned Medicare billing, Virginia enrollment
  • 83 clinicians in this Medicare group

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 23

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.
748 services512 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
400 services301 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
117 services94 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
112 services91 patients
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.
101 services74 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
84 services61 patients

Hospital Affiliations CMS Care Compare 4

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

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Fauquier Hospital

Acute Care Hospitals · Warrenton, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490023
Location500 Hospital DriveWarrenton, VA 20186 · Fauquier County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20186 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims1,980 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers56 claims6,708 services$1.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 David Pfeffer's NPI number?

The NPI number for David Pfeffer is 1124108600. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is David Pfeffer located?

David Pfeffer practices at 410 Hospital Dr, Warrenton, VA 20186. The listed phone number is (540) 347-1314.

What is David Pfeffer's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Pfeffer enrolled in Medicare?

Yes. David Pfeffer 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.

Which organizations bill Medicare for David Pfeffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Pfeffer reassigns Medicare benefits to 3 organizations: Uva Community Health Medical Group, LLC (Warrenton, VA), Blue Ridge Orthopaedic Associates PC (Warrenton, VA) and Clinch Professional Physician Services LLC (Pounding Mill, 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 David Pfeffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Pfeffer accept?

Health plans from Oscar Health list David Pfeffer 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.

Is David Pfeffer affiliated with any hospitals?

According to CMS data, David Pfeffer is affiliated with Novant Health Uva Health System Culpeper Med Cente, Fauquier Hospital, Novant Prince William Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for David Pfeffer was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.