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BRIAN WISPELWEY M.D.
NPI 1245375245
Internal Medicine - Infectious Disease in Charlottesville, VA

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
UVA PRIMARY CARE CTR, LEE STREET, 4TH FLOOR, CHARLOTTESVILLE, VA 22908(434) 982-1700(434) 982-4007 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian Wispelwey M.d. NPPES

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

BRIAN WISPELWEY M.D. (NPI 1245375245) is an individual infectious disease provider in Charlottesville, Virginia, licensed in Virginia (0101044106) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Rutgers New Jersey Medical School (1982).

NPPES Registry Identity

NPI1245375245
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameBRIAN WISPELWEYCredential: M.D.
Location AddressUVA PRIMARY CARE CTR, LEE STREET, 4TH FLOORCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007 · (434) 295-1000 · Fax (434) 972-4266
Phone(434) 982-1700
Fax(434) 982-4007
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1982
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJanuary 20, 2020
✔ NPI 1245375245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in VA · 0101044106
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
UVA PRIMARY CARE CTR, Charlottesville, VA 22908
Open in Google Maps ↗

Other Identifiers 1

Medicaid006025501VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Brian Wispelwey 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 ID8022026376
PECOS Enrollment IDI20060328000291
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 Reassignment

Medicare enrollment records show Brian Wispelwey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
1.9 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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 5

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.
357 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services88 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.
27 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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

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

Other Providers at the Same Location NPPES 10

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

JOHN C. KIRCHGESSNER N.P.
Nurse Practitioner (Pediatrics)
UVA PRIMARY CARE CTR, LEE STREET, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-9144
CHRISTINE M. DUBROFF N.P.
Nurse Practitioner
UVA PRIMARY CARE CTR, LEE STREET, 1ST FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5348
JACK W. BARBER M.D.
Psychiatry & Neurology (Psychiatry)
UVA PRIMARY CARE CTR, LEE STREET, 4TH FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4646
ERIK L. HEWLETT M.D.
Internal Medicine (Infectious Disease)
UVA PRIMARY CARE CTR, LEE STREET, 4TH FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1700
FREDERICK G. HAYDEN M.D.
Internal Medicine (Infectious Disease)
UVA PRIMARY CARE CTR, LEE STREET, 4TH FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1700
GREGORY C. TOWNSEND M.D.
Internal Medicine (Infectious Disease)
UVA PRIMARY CARE CTR, LEE STREET
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-1700
JOHN D. FERGUSON M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
UVA PRIMARY CARE CTR, LEE STREET, GROUND FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5004
PETER W. HEYMANN M.D.
Pediatrics (Pediatric Allergy/Immunology)
UVA PRIMARY CARE CTR, LEE STREET
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-3654

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 Wispelwey's NPI number?

The NPI number for Brian Wispelwey is 1245375245. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Brian Wispelwey located?

Brian Wispelwey practices at Uva Primary Care Ctr Lee Street, 4th Floor, Charlottesville, VA 22908. The listed phone number is (434) 982-1700.

What is Brian Wispelwey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Brian Wispelwey enrolled in Medicare?

Yes. Brian Wispelwey 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 organization bills Medicare for Brian Wispelwey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wispelwey reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The 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 Brian Wispelwey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Wispelwey accept?

Health plans from Oscar Health list Brian Wispelwey 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 Brian Wispelwey affiliated with any hospitals?

According to CMS data, Brian Wispelwey is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Wispelwey was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.