KEVIN M CROSS PT
NPI 1669031670
Physical Therapist in Charlottesville, VA

Active since June 12, 2019Accepts Medicare Assignment
79.39/100
CMS Quality Rating
515 RAY C. HUNT DRIVE, CHARLOTTESVILLE, VA 22903(434) 244-2000(434) 244-2001 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 29, 2021, Oct 15, 2020 and 1 more (4 updates tracked since 2019).

About Kevin M Cross Pt NPPES

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

KEVIN M CROSS PT (NPI 1669031670) is an individual physical therapist in Charlottesville, Virginia, licensed in Virginia (0126000262) and active in the NPI registry since June 2019. He maintains 2 additional practice locations and is a graduate of Other (2011).

NPPES Registry Identity

NPI1669031670
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEVIN M CROSSCredential: PT
Location Address515 RAY C. HUNT DRIVECharlottesville, VA 22903
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 244-2001
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 12, 2019
Last NPPES UpdateAugust 9, 20234 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1669031670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in VA · 0126000262
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
515 RAY C. HUNT DRIVE, Charlottesville, VA 22903

Secondary Practice Locations 2

Location 1545 Ray C Hunt DrCharlottesville, VA 22903-2981 · Phone (434) 243-0311 · Fax (434) 243-0320
Location 21215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-0211

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

Kevin M Cross Pt 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 ID9638406143
PECOS Enrollment IDI20190806004039

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
910 services74 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
417 services50 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
120 services22 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
67 services61 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 5

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

Internal Medicine
515 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Physical Medicine & Rehabilitation
515 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Physical Therapist
515 RAY C. HUNT DRIVE
CHARLOTTEVILLE, VA 22903
Physical Therapist
515 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Anesthesiology (Pain Medicine)
515 RAY C. HUNT DRIVE, UVA PAIN MANAGEMENT
CHARLOTTESVILLE, VA 22903

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 Kevin Cross's NPI number?

The NPI number for Kevin Cross is 1669031670. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Kevin Cross located?

Kevin Cross practices at 515 Ray C. Hunt Drive, Charlottesville, VA 22903. The listed phone number is (434) 244-2000.

What is Kevin Cross's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kevin Cross enrolled in Medicare?

Yes. Kevin Cross 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 Kevin Cross was last updated on August 9, 2023. 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.