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DR. DANIEL A NEUMANN MD
NPI 1295719094
Internal Medicine - Gastroenterology in Suffolk, VA

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
91.81/100
CMS Quality Rating
5818 HARBOUR VIEW BLVD, SUITE 240, SUFFOLK, VA 23435(757) 483-6100(757) 483-2203 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Daniel A Neumann Md NPPES

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

DR. DANIEL A NEUMANN MD (NPI 1295719094) is an individual gastroenterology provider in Suffolk, Virginia, licensed in Virginia (101234465) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Eastern Virginia Medical School (1997).

NPPES Registry Identity

NPI1295719094
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DANIEL A NEUMANNCredential: MD
Location Address5818 HARBOUR VIEW BLVD, SUITE 240Suffolk, VA 23435
Mailing Address5818 Harbour View Blvd, Suite 240Suffolk, VA 23435 · (757) 483-6100 · Fax (757) 483-2203
Phone(757) 483-6100
Fax(757) 483-2203
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1997
Enumeration DateDecember 5, 2005
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1295719094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in VA · 101234465
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.
5818 HARBOUR VIEW BLVD, Suffolk, VA 23435
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified001548G25VA
Medicare UPINH83614
Medicaid005885884VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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

Dr. Daniel A Neumann 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 ID1254411259
PECOS Enrollment IDI20100917000478
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

3

Medicare enrollment records show Daniel Neumann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Digestive Care ,llc
0.2 mi
Gastroenterology
5839 HARBOUR VIEW BLVD, SUITE 200
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 189 clinicians in this Medicare group
NPI 1760541460 (757) 483-6100
Albemarle Physician Services - Sentara, Inc
13 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1942443130 (757) 252-2900
Martha Jefferson Medical Group LLC
136 mi
Family Medicine
590 PETER JEFFERSON PKWY STE 300
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 307 clinicians in this Medicare group
NPI 1275720559 (434) 654-7340

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 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.
108 services92 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.
47 services47 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.
44 services44 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
42 services42 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.
34 services34 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank 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 23435 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.

91.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.14
Promoting Interoperability100
Improvement Activities40
Cost87.56

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%171 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,560 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%1,754 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%25 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%693 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
45%1,335 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%1,301 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%2,042 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%2,042 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 468 patients
2%468 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MARYVIEW HOSPITAL
Clinic/Center (Ambulatory Surgical)
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Suffolk City (757) 673-5800
PAMELA MICHELE SMITH CRNA
Nurse Anesthetist, Certified Registered
5818 HARBOUR VIEW BLVD, SUITE 240
SUFFOLK, VA 23435
Suffolk City (757) 483-6100
DR. CHAD M MCKENZIE D.O.
Surgery (Vascular Surgery)
5818 HARBOUR VIEW BLVD, STE 240
SUFFOLK, VA 23435
Suffolk City (757) 397-2383
DR. TAD EDWARD GRENGA MD
Plastic Surgery
5818 HARBOUR VIEW BLVD, SUITE 220
SUFFOLK, VA 23435
Suffolk City (757) 673-5900
TAMARA K TJEPKEMA CRNA
Nurse Anesthetist, Certified Registered
5818 HARBOUR VIEW BLVD, SUITE 240
SUFFOLK, VA 23435
Suffolk City (757) 483-6100
MRS. KATHRYN A POND FNP
Nurse Practitioner (Family)
5818 HARBOUR VIEW BLVD, STE 240
SUFFOLK, VA 23435
Suffolk City (757) 483-6100
CHARLES JOSEPH FAIRBANKS
Physical Therapy Assistant
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Suffolk City (757) 638-1800
PIERRE THOMAS MARTIN MD
Otolaryngology
5818 HARBOUR VIEW BLVD, SUITE 230
SUFFOLK, VA 23435
Suffolk City (757) 673-6118

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 Daniel Neumann's NPI number?

The NPI number for Daniel Neumann is 1295719094. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Daniel Neumann located?

Daniel Neumann practices at 5818 Harbour View Blvd Suite 240, Suffolk, VA 23435. The listed phone number is (757) 483-6100.

What is Daniel Neumann's specialty?

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

Is Daniel Neumann enrolled in Medicare?

Yes. Daniel Neumann 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 Daniel Neumann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Neumann reassigns Medicare benefits to 3 organizations: Capital Digestive Care ,llc (Suffolk, VA), Albemarle Physician Services - Sentara, Inc (Norfolk, VA) and Martha Jefferson Medical Group LLC (Charlottesville, 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 Daniel Neumann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Neumann accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Daniel Neumann 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 Daniel Neumann affiliated with any hospitals?

According to CMS data, Daniel Neumann is affiliated with Sentara Albemarle Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Neumann was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.