MICHAEL L GWALTNEY MD
NPI 1386802015
Pediatrics in Fishersville, VA

Q: What is Michael Gwaltney's NPI number?

The NPI number for Michael Gwaltney is 1386802015. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Michael Gwaltney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gwaltney was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since May 29, 2008PECOS Enrolled

78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939(540) 932-4075(540) 932-5199 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Feb 27, 2021, Nov 9, 2020 and 4 more (7 updates tracked since 2020).

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About Michael L Gwaltney Md NPPES

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

MICHAEL L GWALTNEY MD (NPI 1386802015) is an individual pediatrics provider in Fishersville, Virginia, licensed in Virginia (0101249737) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1386802015

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMICHAEL L GWALTNEYCredential: MD

Location Address78 MEDICAL CENTER DRFishersville, VA 22939-2332

Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 932-5162 · Fax (540) 932-5875

Phone(540) 932-4075

Fax(540) 932-5199

Sole ProprietorNo

Enumeration DateMay 29, 2008

Last NPPES UpdateSeptember 23, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1386802015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101249737

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

78 MEDICAL CENTER DR, Fishersville, VA 22939

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Secondary Practice Locations 5

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000

Location 257 Beam Ln Ste 202Fishersville, VA 22939-2350 · Phone (540) 332-5373 · Fax (540) 932-5382

Location 33300 Gallows RdFalls Church, VA 22042-3300 · Phone (703) 776-4001 · Fax (703) 776-7113

Location 41215 Lee StCharlottesville, VA 22908-2332 · Phone (434) 924-5321

Location 51204 W Main StCharlottesville, VA 22903-2824 · Phone (434) 924-5321

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael L Gwaltney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$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

$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.

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.

DR. NATHAN LEE MAUST MD

Emergency Medicine

78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

Augusta County (540) 332-4000

SARAH HA DO

Student in an Organized Health Care Education/Training Program

78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

Augusta County (540) 932-5595

LEWIS ALAN SIEGEL M.D.

Internal Medicine (Interventional Cardiology)

78 MEDICAL CENTER DR, HEART & VASCULAR CENTER, 2ND FLR
FISHERSVILLE, VA 22939

Augusta County (540) 245-7080

BARRY HOWARD BLUMENTHAL MD

Psychiatry & Neurology (Psychiatry)

78 MEDICAL CENTER DR, CROSSROADS
FISHERSVILLE, VA 22939

Augusta County (540) 213-2525

ANASTASIA SNELLING D.O.

Hospitalist

78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

Augusta County (540) 932-4075

AHEEMA GAZI D.O.

Student in an Organized Health Care Education/Training Program

78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

Augusta County (540) 245-7987

LAURA L FITZPATRICK MD

Anesthesiology

78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

Augusta County (540) 332-5757

KATHERINE A. BLACK M.D.

Anesthesiology

78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939

Augusta County (540) 332-5757

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 Michael Gwaltney's NPI number?

The NPI number for Michael Gwaltney is 1386802015. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Michael Gwaltney located?

Michael Gwaltney practices at 78 Medical Center Dr, Fishersville, VA 22939. The listed phone number is (540) 932-4075.

What is Michael Gwaltney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Gwaltney enrolled in Medicare?

Yes. Michael Gwaltney is registered in the Medicare PECOS enrollment system.

What insurance does Michael Gwaltney accept?

Health plans from CareSource list Michael Gwaltney 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.

When was this NPI record last updated?

The NPPES record for Michael Gwaltney was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.