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MRS. MONIQUE NANCY SESSLER MD
NPI 1528013075
Family Medicine in Williamsburg, VA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
117 BULIFANTS BOULEVARD, SUITE A, WILLIAMSBURG, VA 23188(757) 565-5440(757) 565-5451 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Monique Nancy Sessler Md NPPES

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

MRS. MONIQUE NANCY SESSLER MD (NPI 1528013075) is an individual family medicine provider in Williamsburg, Virginia, licensed in Virginia (0101049807) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1528013075
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. MONIQUE NANCY SESSLERCredential: MD
Location Address117 BULIFANTS BOULEVARD, SUITE AWilliamsburg, VA 23188-5709
Mailing Address117 Bulifants Blvd, Suite AWilliamsburg, VA 23188-5712 · (757) 565-5440 · Fax (757) 565-5451
Phone(757) 565-5440
Fax(757) 565-5451
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 15, 2010
✔ NPI 1528013075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101049807
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.
117 BULIFANTS BOULEVARD, Williamsburg, VA 23188
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Other Identifiers 3

Medicare UPINF63863VA
Medicaid5604427VA
Medicare PIN080008249VA

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

Mrs. Monique Nancy Sessler 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 ID4880606219
PECOS Enrollment IDI20100819000465
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 8

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.
871 services207 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
136 services136 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services69 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.
61 services38 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
34 services27 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
19 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
92%330 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
64%321 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
68%545 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%3,929 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%13,549 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
69%83 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%913 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%351 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%896 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
71%913 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
69%913 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers34 claims111 services$6.57 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers15 claims22 services$1.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers60 claims60 services$176.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Monique Sessler's NPI number?

The NPI number for Monique Sessler is 1528013075. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Monique Sessler located?

Monique Sessler practices at 117 Bulifants Boulevard Suite A, Williamsburg, VA 23188. The listed phone number is (757) 565-5440.

What is Monique Sessler's specialty?

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

Is Monique Sessler enrolled in Medicare?

Yes. Monique Sessler 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.

Is Monique Sessler affiliated with any hospitals?

According to CMS data, Monique Sessler is affiliated with Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center, Sentara Careplex Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Monique Sessler was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.