GARY Y. FANG MD
NPI 1336357029
Pediatrics - Pediatric Critical Care Medicine in Charlottesville, VA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-1761(434) 982-3561 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2020, Aug 7, 2019 (2 updates tracked since 2019).

About Gary Y. Fang Md NPPES

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

GARY Y. FANG MD (NPI 1336357029) is an individual pediatric critical care medicine provider in Charlottesville, Virginia, licensed in Virginia (0101252547) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1336357029
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameGARY Y. FANGCredential: MD
Location Address1215 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 982-3561
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
NPI 1336357029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in VA · 0101252547
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101252547 (VA)
1215 LEE ST, Charlottesville, VA 22908

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

Gary Y. Fang 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 ID9931356789
PECOS Enrollment IDI20120829000680
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 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 20

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

Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Gary Fang's NPI number?

The NPI number for Gary Fang is 1336357029. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Gary Fang located?

Gary Fang practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-1761.

What is Gary Fang's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Gary Fang enrolled in Medicare?

Yes. Gary Fang 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.

When was this NPI record last updated?

The NPPES record for Gary Fang was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.