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BRIAN WENTWORTH
NPI 1205221553
Internal Medicine - Gastroenterology in Charlottesville, VA

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1215 LEE ST, BOX 800744, CHARLOTTESVILLE, VA 22908(434) 924-1931(434) 243-5770 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 2, 2021, Jul 1, 2021 (2 updates tracked since 2021).

About Brian Wentworth NPPES

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

BRIAN WENTWORTH (NPI 1205221553) is an individual gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0101271764) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2015).

NPPES Registry Identity

NPI1205221553
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBRIAN WENTWORTH
Location Address1215 LEE ST, BOX 800744Charlottesville, VA 22908-0816
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-1931
Fax(434) 243-5770
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1205221553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in VA · 0101271764
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1215 LEE ST, Charlottesville, VA 22908
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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

Brian Wentworth 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 ID941517619
PECOS Enrollment IDI20210701001479, I20251026000074
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 10

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.
114 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services25 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
43 services43 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.
38 services30 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

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 22908 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 3

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers50 claims3,540 services$0.28 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
6 suppliers38 claims38 services$18.86 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
4 suppliers17 claims17 services$12.56 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.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Brian Wentworth's NPI number?

The NPI number for Brian Wentworth is 1205221553. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Brian Wentworth located?

Brian Wentworth practices at 1215 Lee St Box 800744, Charlottesville, VA 22908. The listed phone number is (434) 924-1931.

What is Brian Wentworth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Wentworth enrolled in Medicare?

Yes. Brian Wentworth 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 Brian Wentworth affiliated with any hospitals?

According to CMS data, Brian Wentworth is affiliated with Winchester Medical Center, University Of Virginia Medical Center, Centra Health - Lynchburg Gen Hospital, Lewisgale Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Wentworth was last updated on August 2, 2021. 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.