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DR. DANIEL M ADDIS MD, DO
NPI 1144249400
Family Medicine in Danville, VA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
89.99/100
CMS Quality Rating
219 PARKER RD, DANVILLE, VA 24540(434) 791-7366(434) 791-3438 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel M Addis Md, Do NPPES

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

DR. DANIEL M ADDIS MD, DO (NPI 1144249400) is an individual family medicine provider in Danville, Virginia, licensed in Virginia (0102201320) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sovah Health Danville, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1998).

NPPES Registry Identity

NPI1144249400
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL M ADDISCredential: MD, DO
Location Address219 PARKER RDDanville, VA 24540-4034
Mailing Address219 Parker RdDanville, VA 24540-4034 · (434) 791-7366 · Fax (434) 791-3438
Phone(434) 791-7366
Fax(434) 791-3438
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1998
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1144249400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102201320
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
219 PARKER RD, Danville, VA 24540
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN009885P78VA
Medicare NSC1248110001VA

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

Dr. Daniel M Addis Md, Do 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 ID6709801434
PECOS Enrollment IDI20051012000849
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 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
800 services81 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
761 services61 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.
514 services221 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.
335 services195 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.
187 services120 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
126 services126 patients

Hospital Affiliations CMS Care Compare

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

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24540 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.

89.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost66.65

Reported Quality Measures

Advance Care Plan
86%607 patients4/55-star benchmark: 100%
Breast Cancer Screening
84%334 patients4/55-star benchmark: 93%
Cervical Cancer Screening
62%242 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
1%263 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
76%781 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
55%188 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
82%328 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%328 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%4,998 patients3/55-star benchmark: 100%
e-Prescribing
98%2,322 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
53%578 patients3/55-star benchmark: 100%
HIV Screening
58%651 patients4/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%2,691 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
98%655 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%457 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 616 patients
Patients totalRate: 13% · 617 patients
12%617 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers22 claims276 services$19.43 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers21 claims675 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers89 claims312 services$6.47 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers17 claims17 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers51 claims86 services$1.13 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims73 services$2.88 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 2

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

WENDY SHERWOOD CHILDRESS FNP-C
Family Medicine
219 PARKER RD
DANVILLE, VA 24540
Danville City (434) 791-7366
PIEDMONT FAMILY & OCCUPATIONAL MEDICINE
Family Medicine
219 PARKER RD
DANVILLE, VA 24540
Danville City (434) 791-7366

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 Daniel Addis's NPI number?

The NPI number for Daniel Addis is 1144249400. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Daniel Addis located?

Daniel Addis practices at 219 Parker Rd, Danville, VA 24540. The listed phone number is (434) 791-7366.

What is Daniel Addis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Addis enrolled in Medicare?

Yes. Daniel Addis 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 Daniel Addis affiliated with any hospitals?

According to CMS data, Daniel Addis is affiliated with Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Daniel Addis was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.