KEVIN R MCCONNELL MD
NPI 1225018294
Internal Medicine - Nephrology in Charlottesville, VA

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 MARTHA JEFFERSON DR FL 5, CHARLOTTESVILLE, VA 22911(434) 654-5260(434) 654-5261 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2018, Dec 14, 2015 (2 updates tracked since 2015).

About Kevin R Mcconnell Md NPPES

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

KEVIN R MCCONNELL MD (NPI 1225018294) is an individual nephrology provider in Charlottesville, Virginia, licensed in Virginia (0101056567) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of George Washington University School Of Medicine (1983).

NPPES Registry Identity

NPI1225018294
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKEVIN R MCCONNELLCredential: MD
Location Address500 MARTHA JEFFERSON DR FL 5Charlottesville, VA 22911
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-5260
Fax(434) 654-5261
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1983
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration
NPI 1225018294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in VA · 0101056567
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

500 MARTHA JEFFERSON DR FL 5, Charlottesville, VA 22911

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

Kevin R Mcconnell Md 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 ID7810907755
PECOS Enrollment IDI20060421000489
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 9

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.

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.
313 services111 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
297 services39 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.
232 services181 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
96 services41 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.
86 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services56 patients

Hospital Affiliations CMS Care Compare 4

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

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

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta 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

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
$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.

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

Other Providers at the Same Location NPPES 17

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911
Internal Medicine (Sleep Medicine)
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911
Internal Medicine (Infectious Disease)
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911
Internal Medicine (Pulmonary Disease)
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911
Colon & Rectal Surgery
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911
Internal Medicine (Sleep Medicine)
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911
Internal Medicine (Sleep Medicine)
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911
Surgery
500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911

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 Kevin Mcconnell's NPI number?

The NPI number for Kevin Mcconnell is 1225018294. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Kevin Mcconnell located?

Kevin Mcconnell practices at 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911. The listed phone number is (434) 654-5260.

What is Kevin Mcconnell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kevin Mcconnell enrolled in Medicare?

Yes. Kevin Mcconnell 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 Kevin Mcconnell affiliated with any hospitals?

According to CMS data, Kevin Mcconnell is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center, Augusta Health and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Mcconnell was last updated on July 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.