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THOMAS J LECUYER M.D.
NPI 1295773315
Pediatrics - Pediatric Cardiology in Charlottesville, VA

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 924-3300 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2021, Oct 12, 2020, Aug 7, 2019 (3 updates tracked since 2019).

About Thomas J Lecuyer M.d. NPPES

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

THOMAS J LECUYER M.D. (NPI 1295773315) is an individual pediatric cardiology provider in Charlottesville, Virginia, licensed in Virginia (0101252833) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295773315
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameTHOMAS J LECUYERCredential: M.D.
Location Address1204 W MAIN STCharlottesville, VA 22903-2824
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-0123
Fax(434) 924-3300
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1984
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 5, 20213 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
✔ NPI 1295773315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in VA · 0101252833
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1204 W MAIN ST, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-2335 · Fax (434) 982-0796
Location 2629 Cedar Creek GradeWinchester, VA 22601-2786 · Phone (540) 678-3950 · Fax (540) 678-3954

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, 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

Thomas J Lecuyer 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 ID8123143138
PECOS Enrollment IDI20121214000056
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

6

Medicare enrollment records show Thomas Lecuyer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group
1.1 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
Page Memorial Hospital
32 mi
Health Service
516B 1ST ST
Shenandoah, VA 22849
  • Reassigned Medicare billing, Virginia enrollment
  • 364 clinicians in this Medicare group
NPI 1912911900 (540) 652-1207
Shenandoah Memorial Hospital Inc.
44 mi
Rural Health
9166 N CONGRESS ST
New Market, VA 22844
  • Reassigned Medicare billing, Virginia enrollment
  • 416 clinicians in this Medicare group
NPI 1740711472 (540) 459-1340
Warren Memorial Hospital, Inc.
63 mi
Rural Health
120 N. COMMERCE AVE, STE 103, 230, 245 AND 255
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group
NPI 1457840183 (540) 635-0800
Winchester Medical Center
80 mi
Family Medicine
230 COSTELLO DR STE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
NPI 1356153415 (540) 536-5400
Carilion Medical Center
96 mi
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier36 claims38 services$18.14 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier52 claims182 services$34.93 avg. paid by Medicare
Injection, treprostinil, 1 mg J3285
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier52 claims10,860 services$44.61 avg. paid by Medicare
Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) K0455
DME-Other DME · category DE000N
1 supplier12 claims12 services$217.59 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.

HEATHER STEVENS SPADER MD
Neurological Surgery
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5749
DR. ASMA SHAHID HABIB M.D.
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-9119
JENNIFER MOORE ANDREWS D.O.
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
WILLIAM G. WILSON M.D.
Medical Genetics (Clinical Genetics (M.D.))
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
CHRISTIAN A. CHISHOLM MD
Obstetrics & Gynecology
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2500
LINDA A. WAGGONER FOUNTAIN MD
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
ANNE C BUTZ LCSW
Social Worker (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5321
KEITH R. BACHMANN M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2301

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 Thomas Lecuyer's NPI number?

The NPI number for Thomas Lecuyer is 1295773315. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Thomas Lecuyer located?

Thomas Lecuyer practices at 1204 W Main St, Charlottesville, VA 22903. The listed phone number is (434) 924-0123.

What is Thomas Lecuyer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Thomas Lecuyer enrolled in Medicare?

Yes. Thomas Lecuyer 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 Thomas Lecuyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Lecuyer reassigns Medicare benefits to 6 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Page Memorial Hospital (Shenandoah, VA), Shenandoah Memorial Hospital Inc. (New Market, VA), Warren Memorial Hospital, Inc. (Front Royal, VA), Winchester Medical Center (Winchester, VA) and 1 more organization, listed in the Medicare section above. 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 Thomas Lecuyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Lecuyer accept?

Health plans from CareSource and Oscar Health list Thomas Lecuyer 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 Thomas Lecuyer affiliated with any hospitals?

According to CMS data, Thomas Lecuyer is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Lecuyer was last updated on March 5, 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.