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NEGIIN POURAFSHAR M.D.
NPI 1376835140
Internal Medicine - Nephrology in Fishersville, VA

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
76.55/100
CMS Quality Rating
9 PINNACLE DR, FISHERSVILLE, VA 22939(844) 472-8711(434) 243-7708 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Negiin Pourafshar M.d. NPPES

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

NEGIIN POURAFSHAR M.D. (NPI 1376835140) is an individual nephrology provider in Fishersville, Virginia, licensed in Virginia (0101261324) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1376835140
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameNEGIIN POURAFSHARCredential: M.D.
Location Address9 PINNACLE DRFishersville, VA 22939-2366
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(844) 472-8711
Fax(434) 243-7708
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 11, 2011
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1376835140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in VA · 0101261324
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License TRN15940 (FL)
9 PINNACLE DR, Fishersville, VA 22939
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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

Negiin Pourafshar 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 ID7517109168
PECOS Enrollment IDI20210329002036
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
344 services91 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.
180 services80 patients
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.
76 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services55 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
37 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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.

76.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.16
Promoting Interoperability100
Improvement Activities40
Cost55.94

Other Providers at the Same Location NPPES 5

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

MEGAN PARKER
Behavior Analyst
9 PINNACLE DR
FISHERSVILLE, VA 22939
Augusta County (804) 608-9405
TINA ANN JUDGE FNP
Nurse Practitioner (Psychiatric/Mental Health)
9 PINNACLE DR, SUITE 105
FISHERSVILLE, VA 22939
Augusta County (540) 688-2646
TUSHAR A. CHOPRA M.D.
Internal Medicine (Nephrology)
9 PINNACLE DR, STE A03
FISHERSVILLE, VA 22939
Augusta County (844) 472-8711
MS. SAMANTHA ANN LUCAS PMH-NP
Nurse Practitioner (Psychiatric/Mental Health)
9 PINNACLE DR
FISHERSVILLE, VA 22939
Augusta County (540) 688-2646
MS. MARJORIE JANE THEOBALD BCABA/LABA
Behavior Analyst
9 PINNACLE DR
FISHERSVILLE, VA 22939
Augusta County (804) 915-6400

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 Negiin Pourafshar's NPI number?

The NPI number for Negiin Pourafshar is 1376835140. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Negiin Pourafshar located?

Negiin Pourafshar practices at 9 Pinnacle Dr, Fishersville, VA 22939. The listed phone number is (844) 472-8711.

What is Negiin Pourafshar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Negiin Pourafshar enrolled in Medicare?

Yes. Negiin Pourafshar 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 Negiin Pourafshar was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.