LOVERLY GLAZE PELAYO-PUGH
NPI 1508337403
Nurse Practitioner - Gerontology in Annandale, VA

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
3289 WOODBURN RD STE 320, ANNANDALE, VA 22003(571) 308-1830(571) 308-1843 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2024, Dec 17, 2018 (2 updates tracked since 2018).

About Loverly Glaze Pelayo-pugh NPPES

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

LOVERLY GLAZE PELAYO-PUGH (NPI 1508337403) is an individual gerontology provider in Annandale, Virginia, licensed in Virginia (0017145514) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508337403
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLOVERLY GLAZE PELAYO-PUGH
Location Address3289 WOODBURN RD STE 320Annandale, VA 22003-7354
Mailing Address3289 Woodburn Rd Ste 320Annandale, VA 22003-7354 · (571) 308-1830 · Fax (571) 308-1843
Fax(571) 308-1843
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1508337403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0017145514
3289 WOODBURN RD STE 320, Annandale, VA 22003

Other Identifiers 1

Other0017145514VA · Nurse Practitioner License

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

Loverly Glaze Pelayo-pugh 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 ID4789923129
PECOS Enrollment IDI20190529001280
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

4

Medicare enrollment records show Loverly Pelayo-pugh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 111 clinicians in this Medicare group
Internal Medicine
41816 FENWAY CIR
Ashburn, VA 20148
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 127 clinicians in this Medicare group
Nurse Practitioner
333 N SUMMIT ST, 7TH FLOOR
Toledo, OH 43604
  • Reassigned Medicare billing, Virginia enrollment
  • 13 clinicians in this Medicare group
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, District of Columbia enrollment
  • 30 clinicians in this Medicare group

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
648 services236 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
195 services194 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
146 services36 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
54 services19 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
26 services16 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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

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

Obstetrics & Gynecology (Gynecologic Oncology)
3289 WOODBURN RD STE 320
ANNANDALE, VA 22003

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 Loverly Pelayo-pugh's NPI number?

The NPI number for Loverly Pelayo-pugh is 1508337403. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Loverly Pelayo-pugh located?

Loverly Pelayo-pugh practices at 3289 Woodburn Rd Ste 320, Annandale, VA 22003. The listed phone number is (571) 308-1830.

What is Loverly Pelayo-pugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Loverly Pelayo-pugh enrolled in Medicare?

Yes. Loverly Pelayo-pugh 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 Loverly Pelayo-pugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loverly Pelayo-pugh reassigns Medicare benefits to 4 organizations: Consonant Healing Medical Associates (Silver Spring, MD), Virginia Internal Medicine Inc (Ashburn, VA), Hcr Manorcare Medical Services Of Florida LLC (Toledo, OH) and Healing Partners Plus PLLC (Naperville, IL). 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 Loverly Pelayo-pugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Loverly Pelayo-pugh was last updated on September 10, 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.