WILLIAM H. RAWLS M.D.
NPI 1639157753
Urology in Virginia Beach, VA

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462(757) 489-4111(757) 452-3580 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About William H. Rawls M.d. NPPES

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

WILLIAM H. RAWLS M.D. (NPI 1639157753) is an individual urology provider in Virginia Beach, Virginia, licensed in Virginia (0101045161) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Chesapeake General Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1639157753
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameWILLIAM H. RAWLSCredential: M.D.
Location Address225 CLEARFIELD AVEVirginia Beach, VA 23462-1815
Mailing Address225 Clearfield AveVirginia Beach, VA 23462-1815 · (757) 489-4111 · Fax (757) 452-3580
Fax(757) 452-3580
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 9, 2006
Last NPPES UpdateNovember 27, 2013
✔ NPI 1639157753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VA · 0101045161
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
225 CLEARFIELD AVE, Virginia Beach, VA 23462

Other Identifiers 8

Medicare ID-Type Unspecified340000483VA
Other146549Anthem Bc/bs
Medicare UPINE67346
Medicare ID-Type Unspecified010465U30VA
Other227943VA · Anthem Bc Bs
Other15508VA · Sentara Healthcare
Medicare ID-Type Unspecified340012052VA · Railroad Medicare
Medicaid007501633VA

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

William H. Rawls 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 ID5890798193
PECOS Enrollment IDI20060804000211
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 Reassignment

Medicare enrollment records show William Rawls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
225 CLEARFIELD AVE
Virginia Beach, VA 23462
  • Reassigned Medicare billing, Virginia enrollment
  • 67 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 31

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,332 services943 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
1,048 services794 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.
922 services692 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
861 services105 patients
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.
574 services552 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
464 services390 patients

Hospital Affiliations CMS Care Compare

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

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
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.

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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.57
Promoting Interoperability100
Improvement Activities40
Cost88.87

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier24 claims2,790 services$0.11 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims735 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers52 claims9,830 services$1.51 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers16 claims60 services$8.16 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.

Nurse Practitioner
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physical Therapist
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physician Assistant
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Nurse Practitioner
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physical Therapist
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Urology
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Student in an Organized Health Care Education/Training Program
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Student in an Organized Health Care Education/Training Program
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462

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 William Rawls's NPI number?

The NPI number for William Rawls is 1639157753. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is William Rawls located?

William Rawls practices at 225 Clearfield Ave, Virginia Beach, VA 23462. The listed phone number is (757) 489-4111.

What is William Rawls's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is William Rawls enrolled in Medicare?

Yes. William Rawls 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 organization bills Medicare for William Rawls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Rawls reassigns Medicare benefits to Urology Of Virginia, PLLC (Virginia Beach, VA). The 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 William Rawls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is William Rawls affiliated with any hospitals?

According to CMS data, William Rawls is affiliated with Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for William Rawls was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.