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KEARN K GHUMAN DO
NPI 1407416159
Family Medicine in Culpeper, VA

Active since June 15, 2019PECOS EnrolledAccepts Medicare Assignment
731 DOMINION SQ SHOPPING CTR, CULPEPER, VA 22701(540) 317-0181 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2025, Jun 15, 2019 (2 updates tracked since 2019).

About Kearn K Ghuman Do NPPES

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

KEARN K GHUMAN DO (NPI 1407416159) is an individual family medicine provider in Culpeper, Virginia, licensed in Virginia (0102206987) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2019).

NPPES Registry Identity

NPI1407416159
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKEARN K GHUMANCredential: DO
Location Address731 DOMINION SQ SHOPPING CTRCulpeper, VA 22701-2479
Mailing AddressPo Box 748613Atlanta, GA 30374-8613
Phone(540) 317-0181
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2019
Enumeration DateJune 15, 2019
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1407416159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0102206987✔ Licensed in PA · OT019400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
731 DOMINION SQ SHOPPING CTR, Culpeper, VA 22701
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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

Kearn K Ghuman Do 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 ID9830428788
PECOS Enrollment IDI20220805000620
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 Reassignments

3

Medicare enrollment records show Kearn Ghuman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uva Community Health Medical Group, LLC
2.8 mi
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 584 clinicians in this Medicare group
NPI 1992157580 (540) 829-4100
Fauquier Physician Practices LLC
18 mi
Internal Medicine
550 HOSPITAL DR
Warrenton, VA 20186
  • Reassigned Medicare billing, Virginia enrollment
  • 111 clinicians in this Medicare group
NPI 1770916983 (540) 316-5940
Privia Medical Group, LLC
54 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 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.

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.
53 services29 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.
26 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

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

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 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 2

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

DR. HENRY MILLER DO
Family Medicine
731 DOMINION SQ SHOPPING CTR
CULPEPER, VA 22701
Culpeper County (540) 317-0181
HENRRY DE LA PAZ RAMIREZ LAZO MD
Family Medicine
731 DOMINION SQ SHOPPING CTR
CULPEPER, VA 22701
Culpeper County (540) 317-0181

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 Kearn Ghuman's NPI number?

The NPI number for Kearn Ghuman is 1407416159. It was assigned to this individual provider in the NPPES registry on June 15, 2019.

Where is Kearn Ghuman located?

Kearn Ghuman practices at 731 Dominion Sq Shopping Ctr, Culpeper, VA 22701. The listed phone number is (540) 317-0181.

What is Kearn Ghuman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kearn Ghuman enrolled in Medicare?

Yes. Kearn Ghuman 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 organizations bill Medicare for Kearn Ghuman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kearn Ghuman reassigns Medicare benefits to 3 organizations: Uva Community Health Medical Group, LLC (Culpeper, VA), Fauquier Physician Practices LLC (Warrenton, VA) and Privia Medical Group, LLC (Arlington, VA). Each 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 Kearn Ghuman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kearn Ghuman accept?

Health plans from Oscar Health list Kearn Ghuman 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 Kearn Ghuman affiliated with any hospitals?

According to CMS data, Kearn Ghuman is affiliated with University Of Virginia Medical Center and Novant Health Uva Health System Culpeper Med Cente.

When was this NPI record last updated?

The NPPES record for Kearn Ghuman was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.