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MISS CLAIRE GENTIL MCMAHON NP
NPI 1679098107
Nurse Practitioner - Family in Charlottesville, VA

Active since August 05, 2017PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
2280 IVY RD, STE 1304, CHARLOTTESVILLE, VA 22903(434) 243-5432(434) 244-4454 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Feb 1, 2022, Jan 6, 2022 and 2 more (5 updates tracked since 2017).

About Miss Claire Gentil Mcmahon Np NPPES

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

MISS CLAIRE GENTIL MCMAHON NP (NPI 1679098107) is an individual family provider in Charlottesville, Virginia, licensed in Virginia (0024176820) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679098107
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS CLAIRE GENTIL MCMAHONCredential: NP
Location Address2280 IVY RD, STE 1304Charlottesville, VA 22903
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 243-5432
Fax(434) 244-4454
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 5, 2017
Last NPPES UpdateAugust 10, 20235 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1679098107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in VA · 0024176820✔ Licensed in DC · RN1022138
2280 IVY RD, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13800 Reservoir Rd NWWashington, DC 20007-2113 · Phone (855) 546-0596
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

Miss Claire Gentil Mcmahon Np 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 ID5496011306
PECOS Enrollment IDI20220119001975
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.

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.
138 services92 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.
64 services55 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
37 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

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
$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.

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

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$38.91 avg. paid by Medicare
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4386
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$128.53 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 14

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

LOGAN MICHAEL SEITZER
Physician Assistant
2280 IVY RD, STE 1304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-7778
IAN WHITNEY PT
Physical Therapist
2280 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-0311
JESSICA LEIGH BODDEN MPT
Physical Therapist
2280 IVY RD, STE G271
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-0311
GORDON LENTS MD
Student in an Organized Health Care Education/Training Program
2280 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-8711
MRS. CHELSEA E FRYE NP
Nurse Practitioner
2280 IVY RD
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2283
CHARLES SU
Orthopaedic Surgery
2280 IVY RD, STE 1304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-7778
CAROLINE TIPPETT
Orthopaedic Surgery (Foot and Ankle Surgery)
2280 IVY RD, STE 1304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5432
KIMBERLY JOY HIGGINBOTHAM PA
Physician Assistant
2280 IVY RD, STE 1304
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-3600

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 Claire Mcmahon's NPI number?

The NPI number for Claire Mcmahon is 1679098107. It was assigned to this individual provider in the NPPES registry on August 5, 2017.

Where is Claire Mcmahon located?

Claire Mcmahon practices at 2280 Ivy Rd Ste 1304, Charlottesville, VA 22903. The listed phone number is (434) 243-5432.

What is Claire Mcmahon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claire Mcmahon enrolled in Medicare?

Yes. Claire Mcmahon 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 Claire Mcmahon affiliated with any hospitals?

According to CMS data, Claire Mcmahon is affiliated with University Of Virginia Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for Claire Mcmahon was last updated on August 10, 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.