THERESE SOBALLE CERMAK MD
NPI 1346480936
Pathology - Anatomic Pathology & Clinical Pathology in Reston, VA

Active since February 23, 2009PECOS EnrolledAccepts Medicare Assignment
79.31/100
CMS Quality Rating
1850 TOWN CENTER PKWY, RESTON, VA 20190(703) 689-9093(703) 639-9580 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Therese Soballe Cermak Md NPPES

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

THERESE SOBALLE CERMAK MD (NPI 1346480936) is an individual anatomic pathology & clinical pathology provider in Reston, Virginia, licensed in District Of Columbia (MD035880) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1994).

NPPES Registry Identity

NPI1346480936
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameTHERESE SOBALLE CERMAKCredential: MD
Location Address1850 TOWN CENTER PKWYReston, VA 20190-3204
Mailing AddressPo Box 745344Atlanta, GA 30374-5344 · (703) 689-9093 · Fax (703) 639-9580
Fax(703) 639-9580
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1994
Enumeration DateFebruary 23, 2009
Last NPPES UpdateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
NPI 1346480936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in DC · MD035880 Licensed in VA · 0101053571
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1850 TOWN CENTER PKWY, Reston, VA 20190

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

Therese Soballe Cermak 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 ID547430092
PECOS Enrollment IDI20110819000316, I20210325001485
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
710 services273 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
196 services53 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
125 services97 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
113 services75 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
92 services67 patients
Pathology examination of tissue using a microscope, high complexity 88309
A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
41 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Spotsylvania Regional Medical Center

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490141
Location4600 Spotsylvania ParkwayFredericksburg, VA 22408 · Spotsylvania County
Emergency services Birthing friendly

Stonesprings Hospital Center

Acute Care Hospitals · Dulles, VA
OwnershipProprietary
CMS Certification Number490145
Location24440 Stone Springs BoulevardDulles, VA 20166 · Loudoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

79.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.66
Improvement Activities40

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.

Anesthesiology
1850 TOWN CENTER PKWY
RESTON, VA 20190
General Practice
1850 TOWN CENTER PKWY, EMERGENCY DEPARTMENT
RESTON, VA 20190
Nurse Anesthetist, Certified Registered
1850 TOWN CENTER PKWY
RESTON, VA 20190
Pediatrics (Neonatal-Perinatal Medicine)
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Emergency Medicine
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Emergency Medicine
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Internal Medicine
1850 TOWN CENTER PKWY
RESTON, VA 20190
Emergency Medicine
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER
RESTON, VA 20190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346480936, enumerated as an "individual" on February 23, 2009.

The provider is located at 1850 TOWN CENTER PKWY RESTON, VA 20190 and the phone number is (703) 689-9093.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

Therese Cermak is affiliated with: RESTON HOSPITAL CENTER, SPOTSYLVANIA REGIONAL MEDICAL CENTER and STONESPRINGS HOSPITAL CENTER.