BRIAN M SHOWALTER MD
NPI 1447415625
Surgery - Plastic and Reconstructive Surgery in Charlottesville, VA

Q: What is Brian Showalter's NPI number?

The NPI number for Brian Showalter is 1447415625. It was assigned to this individual provider in the NPPES registry on July 27, 2008.

Q: What is Brian Showalter's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Brian Showalter was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 27, 2008PECOS EnrolledAccepts Medicare Assignment

95.11/100

CMS Quality Rating

595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 22911(434) 654-8920(434) 654-8921 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2019, Jun 26, 2018, Jan 9, 2018 and 2 more (5 updates tracked since 2016).

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About Brian M Showalter Md NPPES

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

BRIAN M SHOWALTER MD (NPI 1447415625) is an individual plastic and reconstructive surgery provider in Charlottesville, Virginia, licensed in Virginia (0101255390) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2008).

NPPES Registry Identity

NPI1447415625

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameBRIAN M SHOWALTERCredential: MD

Location Address595 MARTHA JEFFERSON DR STE 280Charlottesville, VA 22911

Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-8921

Phone(434) 654-8920

Fax(434) 654-8921

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2008

Enumeration DateJuly 27, 2008

Last NPPES UpdateJanuary 4, 20195 updates tracked since enumeration

✔ NPI 1447415625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in VA · 0101255390

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 0101255390 (VA)

595 MARTHA JEFFERSON DR STE 280, Charlottesville, VA 22911

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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

Brian M Showalter Md 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 ID1355567041

PECOS Enrollment IDI20140804000080

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 4

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.

62 services62 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.

32 services27 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

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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490077

Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle 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.

95.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.31

Promoting Interoperability

100

Improvement Activities

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.

NICOLE BRENNEMAN LEPSCH FNP

Nurse Practitioner (Family)