JASON ALEXANDER SHUGOLL MD
NPI 1619554268
Psychiatry & Neurology - Psychiatry in Charlottesville, VA

Active since March 28, 2021PECOS EnrolledAccepts Medicare Assignment
630 PETER JEFFERSON PKWY STE 130, CHARLOTTESVILLE, VA 22911(434) 201-2155 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Alexander Shugoll Md NPPES

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

JASON ALEXANDER SHUGOLL MD (NPI 1619554268) is an individual psychiatry provider in Charlottesville, Virginia, licensed in Virginia (0101280026) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619554268
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJASON ALEXANDER SHUGOLLCredential: MD
Location Address630 PETER JEFFERSON PKWY STE 130Charlottesville, VA 22911-4624
Mailing Address1215 Lee St, Mail Stop 801210Charlottesville, VA 22908-0816 · (434) 924-5314 · Fax (434) 243-4743
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1619554268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in VA · 0101280026
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
630 PETER JEFFERSON PKWY STE 130, Charlottesville, VA 22911

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

Jason Alexander Shugoll 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 ID3476954744
PECOS Enrollment IDI20250908000168
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.

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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 7

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

Physician Assistant
630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE, VA 22911
Social Worker (Clinical)
630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE, VA 22911
Social Worker (Clinical)
630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE, VA 22911
Social Worker (Clinical)
630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE, VA 22911
Social Worker
630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE, VA 22911
Physician Assistant
630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE, VA 22911
Social Worker (Clinical)
630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE, VA 22911

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 Jason Shugoll's NPI number?

The NPI number for Jason Shugoll is 1619554268. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Jason Shugoll located?

Jason Shugoll practices at 630 Peter Jefferson Pkwy Ste 130, Charlottesville, VA 22911. The listed phone number is (434) 201-2155.

What is Jason Shugoll's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jason Shugoll enrolled in Medicare?

Yes. Jason Shugoll 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.

When was this NPI record last updated?

The NPPES record for Jason Shugoll was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.