JEFFERSON MARK PRICHARD M.D.
NPI 1609899400
Internal Medicine - Hematology & Oncology in Charlottesville, VA

Q: What is Jefferson Prichard's NPI number?

The NPI number for Jefferson Prichard is 1609899400. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Jefferson Prichard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

95.11/100

CMS Quality Rating

500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911(434) 654-8390(434) 654-8399 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 5, 2024, Jan 19, 2022, Jul 3, 2018 (3 updates tracked since 2018).

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About Jefferson Mark Prichard M.d. NPPES

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

JEFFERSON MARK PRICHARD M.D. (NPI 1609899400) is an individual hematology & oncology provider in Charlottesville, Virginia, licensed in Virginia (0101232678) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Rockingham.

NPPES Registry Identity

NPI1609899400

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJEFFERSON MARK PRICHARDCredential: M.D.

Location Address500 MARTHA JEFFERSON DRCharlottesville, VA 22911

Mailing Address500 Martha Jefferson DrCharlottesville, VA 22911-4668 · (434) 654-8390

Phone(434) 654-8390

Fax(434) 654-8399

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000

Enumeration DateJuly 25, 2006

Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2024

✔ NPI 1609899400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in VA · 0101232678

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

500 MARTHA JEFFERSON DR, Charlottesville, VA 22911

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Secondary Practice Location 1

Location 12008 Health Campus DrRockingham, VA 22801-8679 · Phone (540) 689-7000 · Fax (540) 689-7001

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

Jefferson Mark Prichard M.d. 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 ID9032188958

PECOS Enrollment IDI20110726000033

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 13

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

423 services189 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.

353 services97 patients

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.

323 services169 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

254 services132 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

231 services65 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.

191 services158 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

156 services116 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.

25 services20 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.

20 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services16 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

13 services12 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

11 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490004

Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County

Emergency services Birthing friendly

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

Augusta Health

Acute Care Hospitals · Fishersville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490018

Location78 Medical Center DriveFishersville, VA 22939 · Augusta County

Emergency services Birthing friendly

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

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number491307

Location200 Memorial DriveLuray, VA 22835 · Page County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

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.

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

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier22 claims22 services$16.87 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

1 supplier30 claims31 services$88.67 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers14 claims1,400 services$0.68 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers11 claims12 services$12.69 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 20

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

JEFFREY CHING-KWEI MAI MD, PHD

Neurological Surgery

500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-5260

MRS. STEPHANIE RICHARDSON WILHELM CRNP

Nurse Practitioner (Family)

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7150

ALISON BURKHOLDER HEAVENRIDGE NP

Nurse Practitioner (Gerontology)

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7580

DR. NORMAN A. BRENBRIDGE MD

Radiology (Diagnostic Radiology)

500 MARTHA JEFFERSON DR, CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 244-4580

MAIRIN SMITH MD

Emergency Medicine

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7154

SCOTT CAMPBELL

Urology

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-5260

MELISSA VOLPE PA-C

Physician Assistant

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7000

JOHN PHILLIP ROSS PEMBERTON MD

Internal Medicine

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 654-7000

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 Jefferson Prichard's NPI number?

The NPI number for Jefferson Prichard is 1609899400. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Jefferson Prichard located?

Jefferson Prichard practices at 500 Martha Jefferson Dr, Charlottesville, VA 22911. The listed phone number is (434) 654-8390.

What is Jefferson Prichard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Jefferson Prichard enrolled in Medicare?

Yes. Jefferson Prichard 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 Jefferson Prichard affiliated with any hospitals?

According to CMS data, Jefferson Prichard is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center, Augusta Health, Sentara Martha Jefferson Hospital and Page Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Jefferson Prichard was last updated on January 5, 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.