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THOMAS E ACHTER JR. FNP
NPI 1578873394
Nurse Practitioner - Family in Culpeper, VA

Active since October 14, 2010PECOS EnrolledAccepts Medicare Assignment
15237 CREATIVITY DR, CULPEPER, VA 22701(540) 321-4281(540) 321-4282 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2020, Aug 29, 2017 (2 updates tracked since 2017).

About Thomas E Achter Jr. Fnp NPPES

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

THOMAS E ACHTER JR. FNP (NPI 1578873394) is an individual family provider in Culpeper, Virginia, licensed in Virginia (0024169042) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578873394
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS E ACHTER JR.Credential: FNP
Location Address15237 CREATIVITY DRCulpeper, VA 22701-2504
Mailing Address136 Linden Dr Ste 104Winchester, VA 22601-6900 · (540) 678-3588 · Fax (540) 678-9025
Phone(540) 321-4281
Fax(540) 321-4282
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 14, 2010
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1578873394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024169042
15237 CREATIVITY DR, Culpeper, VA 22701
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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

Thomas E Achter Jr. Fnp 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 ID7618159864
PECOS Enrollment IDI20110308001065
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 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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
402 services237 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
159 services151 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services28 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$18.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$100.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

MS. ERIN NICOLE LOPEZ PA-C
Physician Assistant
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
SHENANDOAH FAMILY URGENT CARE, LLC
Clinic/Center (Urgent Care)
15237 CREATIVITY DR, SUITE 103
CULPEPER, VA 22701
Culpeper County (540) 380-8225
ABIGAIL RENNIE CARRUTHERS
Physician Assistant (Medical)
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
BERNADETTE M. FOCAZIO A.N.P
Nurse Practitioner (Adult Health)
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
SHENANDOAH FAMILY PRACTICE, LLC
Clinic/Center
15237 CREATIVITY DR, SUITE 101
CULPEPER, VA 22701
Culpeper County (540) 380-8231
LISA HARNUM M.D.
Pediatrics
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
RIDGELINE PHYSICIAN SERVICES, LLC
Clinic/Center (Multi-Specialty)
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
STEPHANIE M GRICE MD
Pediatrics
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281

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 Thomas Achter's NPI number?

The NPI number for Thomas Achter is 1578873394. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Thomas Achter located?

Thomas Achter practices at 15237 Creativity Dr, Culpeper, VA 22701. The listed phone number is (540) 321-4281.

What is Thomas Achter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thomas Achter enrolled in Medicare?

Yes. Thomas Achter 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 Thomas Achter affiliated with any hospitals?

According to CMS data, Thomas Achter 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 Thomas Achter was last updated on October 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.