ALEXANDER JOSEPH PODBOY M.D.
NPI 1366858011
Internal Medicine - Gastroenterology in Charlottesville, VA

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 243-3090(434) 244-9445 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2025, Aug 23, 2021, Aug 4, 2021 and 1 more (4 updates tracked since 2020).

About Alexander Joseph Podboy M.d. NPPES

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

ALEXANDER JOSEPH PODBOY M.D. (NPI 1366858011) is an individual gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0101272714) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (2014).

NPPES Registry Identity

NPI1366858011
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameALEXANDER JOSEPH PODBOYCredential: M.D.
Location Address1215 LEE STCharlottesville, VA 22908-1804
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 244-9445
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2014
Enumeration DateJuly 2, 2014
Last NPPES UpdateNovember 21, 20254 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1366858011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in VA · 0101272714 Licensed in CA · A147577 Licensed in SC · 95920
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 59781 (MN)
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

Alexander Joseph Podboy 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 ID4284850082
PECOS Enrollment IDI20210811002342, I20260112000530
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 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.
64 services51 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
58 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services30 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.
37 services37 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
36 services23 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
32 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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.

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 Alexander Podboy's NPI number?

The NPI number for Alexander Podboy is 1366858011. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Alexander Podboy located?

Alexander Podboy practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 243-3090.

What is Alexander Podboy's specialty?

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

Is Alexander Podboy enrolled in Medicare?

Yes. Alexander Podboy 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.

Is Alexander Podboy affiliated with any hospitals?

According to CMS data, Alexander Podboy is affiliated with Musc Medical Center and University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Podboy was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.