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DR. JOHN TALBOT ENGLISH III M.D.
NPI 1639439789
Surgery in Front Royal, VA

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
351 VALLEY HEALTH WAY # 200, FRONT ROYAL, VA 22630(540) 636-0600(540) 636-0629 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2021, Mar 6, 2021, Aug 21, 2020 and 1 more (4 updates tracked since 2018).

About Dr. John Talbot English Iii M.d. NPPES

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

DR. JOHN TALBOT ENGLISH III M.D. (NPI 1639439789) is an individual surgery provider in Front Royal, Virginia, licensed in Virginia (0101261943) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639439789
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN TALBOT ENGLISH IIICredential: M.D.
Location Address351 VALLEY HEALTH WAY # 200Front Royal, VA 22630-6480
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2888 · (540) 536-5100
Phone(540) 636-0600
Fax(540) 636-0629
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 23, 2012
Last NPPES UpdateApril 25, 20254 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1639439789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101261943
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
351 VALLEY HEALTH WAY # 200, Front Royal, VA 22630
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Dr. John Talbot English Iii 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 ID840561502
PECOS Enrollment IDI20170731000923
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 5

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
48 services48 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
28 services28 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.
24 services22 patients
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.
20 services15 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22630 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
$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.

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.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers13 claims180 services$4.32 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers13 claims170 services$2.47 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 3

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

ROBERT MELTVEDT MD
Surgery
351 VALLEY HEALTH WAY # 200
FRONT ROYAL, VA 22630
Warren County (540) 636-0600
ERIK MITCHELL D.O.
Orthopaedic Surgery
351 VALLEY HEALTH WAY # 200
FRONT ROYAL, VA 22630
Warren County (540) 636-0600
ADAM LOUIS CHAVEZ NP
Nurse Practitioner (Family)
351 VALLEY HEALTH WAY # 200
FRONT ROYAL, VA 22630
Warren County (540) 636-0600

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 John English's NPI number?

The NPI number for John English is 1639439789. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is John English located?

John English practices at 351 Valley Health Way # 200, Front Royal, VA 22630. The listed phone number is (540) 636-0600.

What is John English's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John English enrolled in Medicare?

Yes. John English 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.

What insurance does John English accept?

Health plans from CareSource list John English as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John English affiliated with any hospitals?

According to CMS data, John English is affiliated with Winchester Medical Center, Warren Memorial Hospital and Shenandoah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John English was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.