NEAL S TOPHAM M.D.
NPI 1386667087
Plastic Surgery in Winchester, VA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
190 CAMPUS BLVD STE 310, WINCHESTER, VA 22601(540) 536-0130(540) 536-0140 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2024, Jul 5, 2022, Jan 28, 2022 and 2 more (5 updates tracked since 2018).

About Neal S Topham M.d. NPPES

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

NEAL S TOPHAM M.D. (NPI 1386667087) is an individual plastic surgery provider in Winchester, Virginia, licensed in Virginia (0101273580) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386667087
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameNEAL S TOPHAMCredential: M.D.
Location Address190 CAMPUS BLVD STE 310Winchester, VA 22601-2872
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Fax(540) 536-0140
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 25, 2006
Last NPPES UpdateApril 24, 20245 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1386667087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in VA · 0101273580
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
190 CAMPUS BLVD STE 310, Winchester, VA 22601

Secondary Practice Locations 3

Location 11880 Amherst Street, Suite 300Winchester, VA 22601 · Phone (540) 536-6721 · Fax (540) 536-6724
Location 2351 Valley Health WayFront Royal, VA 22630-3598 · Phone (540) 636-0300 · Fax (540) 636-0427
Location 31840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000 · Fax (540) 536-7780

Accepted Insurance

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

Neal S Topham 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 ID2769512839
PECOS Enrollment IDI20211129002800
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services23 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Surgery (Surgical Critical Care)
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Nurse Practitioner (Family)
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Surgery
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Physician Assistant
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Nurse Practitioner (Critical Care Medicine)
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Nurse Practitioner
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Surgery
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Physician Assistant (Surgical)
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601

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 Neal Topham's NPI number?

The NPI number for Neal Topham is 1386667087. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Neal Topham located?

Neal Topham practices at 190 Campus Blvd Ste 310, Winchester, VA 22601. The listed phone number is (540) 536-0130.

What is Neal Topham's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Neal Topham enrolled in Medicare?

Yes. Neal Topham 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.

What insurance does Neal Topham accept?

Health plans from CareSource list Neal Topham 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 Neal Topham affiliated with any hospitals?

According to CMS data, Neal Topham is affiliated with Winchester Medical Center and Warren Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Neal Topham was last updated on April 24, 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.