1. Home
  2. Directory
  3. Virginia
  4. Charlottesville
  5. Orthopaedic Surgery
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID R. DIDUCH M.D.
NPI 1386706620
Orthopaedic Surgery - Sports Medicine in Charlottesville, VA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
2800 IVY RD, CHARLOTTESVILLE, VA 22903(434) 243-3600(434) 244-4454 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2026, Aug 9, 2023, Mar 28, 2023 and 2 more (5 updates tracked since 2020).

About David R. Diduch M.d. NPPES

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

DAVID R. DIDUCH M.D. (NPI 1386706620) is an individual sports medicine provider in Charlottesville, Virginia, licensed in Virginia (0101044140) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1386706620
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDAVID R. DIDUCHCredential: M.D.
Location Address2800 IVY RDCharlottesville, VA 22903
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Phone(434) 243-3600
Fax(434) 244-4454
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1988
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 19, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2026
✔ NPI 1386706620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in VA · 0101044140
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2800 IVY RD, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-0211

Other Identifiers 1

Medicaid006402551VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David R. Diduch 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 ID1355359332
PECOS Enrollment IDI20060403000338
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 Billing Reassignment

Medicare enrollment records show David Diduch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
2.5 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
88 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services50 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
53 services48 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.
20 services20 patients
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.
16 services16 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City 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

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 14

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

MEGAN E ABRAMS PA-C
Physician Assistant
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3633
MINTON TRUITT COOPER M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600
JACQUELYN N. WILSON P.A.
Physician Assistant (Surgical)
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600
DR. QUANJUN CUI M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600
DR. MICHAEL MITRY HADEED III M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600
ADAM L SHIMER MD
Orthopaedic Surgery
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600
DYLAN N. DEAL M.D.
Orthopaedic Surgery (Hand Surgery)
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600
SARA D. RYNDERS P.A.
Physician Assistant
2800 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600

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 David Diduch's NPI number?

The NPI number for David Diduch is 1386706620. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is David Diduch located?

David Diduch practices at 2800 Ivy Rd, Charlottesville, VA 22903. The listed phone number is (434) 243-3600.

What is David Diduch's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is David Diduch enrolled in Medicare?

Yes. David Diduch 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.

Which organization bills Medicare for David Diduch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Diduch reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Diduch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Diduch accept?

Health plans from Oscar Health list David Diduch 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 David Diduch affiliated with any hospitals?

According to CMS data, David Diduch is affiliated with Sentara Rmh Medical Center and University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for David Diduch was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.