DR. JOHN PRICE DO
NPI 1205254679
Internal Medicine - Pulmonary Disease in Winchester, VA

Q: What is John Price's NPI number?

The NPI number for John Price is 1205254679. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is John Price's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for John Price was last updated on May 28, 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.

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment

1840 AMHERST ST, WINCHESTER, VA 22601(540) 536-7087 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2021, Mar 29, 2021, Mar 7, 2021 and 3 more (6 updates tracked since 2019).

On this page

About Dr. John Price Do NPPES

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

DR. JOHN PRICE DO (NPI 1205254679) is an individual pulmonary disease provider in Winchester, Virginia, licensed in Virginia (0102205999) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1205254679

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JOHN PRICECredential: DO

Location Address1840 AMHERST STWinchester, VA 22601-2808

Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235

Phone(540) 536-7087

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014

Enumeration DateApril 2, 2014

Last NPPES UpdateMay 28, 20216 updates tracked since enumeration

NPPES CertifiedMay 28, 2021

✔ NPI 1205254679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in VA · 0102205999

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 04140 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1840 AMHERST ST, Winchester, VA 22601

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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. John Price 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 ID9931409505

PECOS Enrollment IDI20200615000015, I20210113002501

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 13

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.

369 services256 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

148 services148 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

144 services144 patients

Test to examine how well the lungs exchange gases 94729

137 services137 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

130 services130 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

128 services128 patients

Test to determine lung volumes using sensors 94726

122 services122 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.

106 services106 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

31 services31 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

18 services12 patients

Test to measure expiratory airflow and volume 94010

14 services14 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

14 services14 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

14 services14 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

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511309

Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers14 claims14 services$37.29 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers25 claims53 services$1.25 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers11 claims12 services$102.72 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers14 claims38 services$37.09 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers15 claims15 services$56.96 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers11 claims12 services$19.72 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers13 claims13 services$17.94 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers23 claims109 services$2.33 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers11 claims11 services$12.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers69 claims86 services$16.91 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

3 suppliers13 claims13 services$934.49 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers81 claims81 services$6.36 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers43 claims45 services$36.21 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers101 claims125 services$90.43 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers28 claims35 services$33.78 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims840 services$4.68 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers77 claims13,276 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

10 suppliers42 claims3,600 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers50 claims3,168 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers17 claims89,250 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

17 suppliers113 claims113 services$24.97 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.

AKHILA SURE M.D.

Surgery (Surgical Critical Care)

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-8000

JILLIAN H CALL MD

Emergency Medicine

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-8000

MICHAEL MAYER ROMAIN KHAFI DO

Emergency Medicine

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-8000

RAMZIDDIN KHALMURATOV PA-C

Physician Assistant

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-4555

MEAGHAN PETERS CSFA

Specialist/Technologist, Other (Surgical Assistant)

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-8000

JOEL A RHODES CRNA

Nurse Anesthetist, Certified Registered

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-8000

BEVIN MARIE SANBORN LCSW

Social Worker (Clinical)

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-5191

T. GLEN BOUDER MD

Internal Medicine (Critical Care Medicine)

1840 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 536-8874

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 John Price's NPI number?

The NPI number for John Price is 1205254679. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is John Price located?

John Price practices at 1840 Amherst St, Winchester, VA 22601. The listed phone number is (540) 536-7087.

What is John Price's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Price enrolled in Medicare?

Yes. John Price 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.

What insurance does John Price accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list John Price 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 John Price affiliated with any hospitals?

According to CMS data, John Price is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Berkeley Medical Center and Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Price was last updated on May 28, 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.