1. Home
  2. Directory
  3. Virginia
  4. Newport News
  5. Family Medicine
  6. NPI Profile

TERESA L MCCONAUGHY MD
NPI 1285625368
Family Medicine in Newport News, VA

Active since October 29, 2005PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1000 OLD DENBIGH BLVD, SUITE 1020A, NEWPORT NEWS, VA 23602(757) 875-2050(757) 875-2070 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Teresa L Mcconaughy Md NPPES

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

TERESA L MCCONAUGHY MD (NPI 1285625368) is an individual family medicine provider in Newport News, Virginia, licensed in Virginia (0101048449) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1991).

NPPES Registry Identity

NPI1285625368
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTERESA L MCCONAUGHYCredential: MD
Location Address1000 OLD DENBIGH BLVD, SUITE 1020ANewport News, VA 23602-2017
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318
Phone(757) 875-2050
Fax(757) 875-2070
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1991
Enumeration DateOctober 29, 2005
Last NPPES UpdateOctober 30, 2013
✔ NPI 1285625368 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 · 0101048449
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.
1000 OLD DENBIGH BLVD, Newport News, VA 23602
Open in Google Maps ↗

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

Teresa L Mcconaughy 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 ID7618058058
PECOS Enrollment IDI20080111000285
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 Reassignments

2

Medicare enrollment records show Teresa Mcconaughy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Physician Services Inc
4.4 mi
Gastroenterology
101 PHILIP ROTH ST, SUITE 5-A
Newport News, VA 23606
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1194929026 (757) 599-6333
Bay Aging
34 mi
Public Health or Welfare
5306 OLD VIRGINIA ST.
Urbanna, VA 23175
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1780656215 (804) 758-2386

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 2

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
49 services45 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23602 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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$38.68 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
2 suppliers12 claims12 services$68.05 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 14

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

LEANA THORPE AGAC NP
Nurse Practitioner (Gerontology)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2050
PATRICK HENRY HOSPITAL INC
Nursing Facility/Intermediate Care Facility
1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2000
LYNN B ELLIS NP
Nurse Practitioner (Family)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
JOSEPH LAWSON WARD MD
Family Medicine
1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2000
BHARATI SRIVASTAVA M.D.
Internal Medicine (Geriatric Medicine)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 220-9000
SHARON NICOLA BISHOP AGPCNP-BC
Nurse Practitioner (Gerontology)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2050
KARMA MARIE LAPACEK P.T.
Physical Therapist
1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2000
ROBERT PAUL HARVEY M.D.
Internal Medicine (Allergy & Immunology)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2050

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 Teresa Mcconaughy's NPI number?

The NPI number for Teresa Mcconaughy is 1285625368. It was assigned to this individual provider in the NPPES registry on October 29, 2005.

Where is Teresa Mcconaughy located?

Teresa Mcconaughy practices at 1000 Old Denbigh Blvd Suite 1020A, Newport News, VA 23602. The listed phone number is (757) 875-2050.

What is Teresa Mcconaughy's specialty?

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

Is Teresa Mcconaughy enrolled in Medicare?

Yes. Teresa Mcconaughy 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 organizations bill Medicare for Teresa Mcconaughy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Mcconaughy reassigns Medicare benefits to 2 organizations: Riverside Physician Services Inc (Newport News, VA) and Bay Aging (Urbanna, VA). Each 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 Teresa Mcconaughy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Teresa Mcconaughy affiliated with any hospitals?

According to CMS data, Teresa Mcconaughy is affiliated with Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Teresa Mcconaughy was last updated on October 30, 2013. 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.