TERESA MENADIER M.D.
NPI 1679835383
Internal Medicine - Gastroenterology in Charlottesville, VA

Q: What is Teresa Menadier's NPI number?

The NPI number for Teresa Menadier is 1679835383. It was assigned to this individual provider in the NPPES registry on June 10, 2012. The provider is also known as Teresa Valentin MD.

Q: What is Teresa Menadier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Menadier was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 10, 2012PECOS EnrolledAccepts Medicare Assignment

97.45/100

CMS Quality Rating

1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-0000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Mar 8, 2018 (2 updates tracked since 2018).

On this page

About Teresa Menadier M.d. NPPES

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

TERESA MENADIER M.D. (NPI 1679835383) is an individual gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0116027736) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679835383

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameTERESA MENADIERCredential: M.D.

Location Address1215 LEE STCharlottesville, VA 22908-0816

Mailing Address1215 Lee StCharlottesville, VA 22908-0816 · (434) 924-0000

Phone(434) 924-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 10, 2012

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1679835383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in VA · 0116027736

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT202309 (PA)

1215 LEE ST, Charlottesville, VA 22908

Open in Google Maps ↗

Other Names 1

Former Name (1)Teresa Valentin Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Teresa Menadier 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 ID2860740321

PECOS Enrollment IDI20180731003778

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

296 services177 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.

214 services164 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

92 services90 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

91 services90 patients

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.

77 services75 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.

67 services67 patients

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.

67 services58 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.

57 services53 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.

32 services23 patients

Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065

This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.

21 services13 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.

20 services20 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

13 services13 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310041

Location99 Rt 37 WestToms River, NJ 08755 · Ocean County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310113

Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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

$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.

97.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

NORMA BRANHAM R.N., N.P.

Nurse Practitioner

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2047

FARNAZ M GAZONI MD

Anesthesiology

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2283

MARGARET K. SANDE M.D.

Emergency Medicine

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

KATHERINE T, FORKIN M.D.

Anesthesiology

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2283

AMBER N. INOFUENTES M.D.

Hospitalist

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-4288

JOY R MILLER PNP

Nurse Practitioner (Pediatrics)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-2617

DR. DARREN GUFFEY M.D.

Dermatology

1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-1931

SETH MORRISON MD

Pediatrics (Pediatric Gastroenterology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

AARON FREY DO

Emergency Medicine

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

SARA M VECCHIONE FNP

Nurse Practitioner (Family)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2231

NICOLE M FRANK PA

Physician Assistant (Medical)

1215 LEE ST, 7TH FLOOR
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 982-1707

ELLEN A FAULK MD

Radiology (Diagnostic Radiology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-9400

DARLENE ACERO MS, RD

Dietitian, Registered (Nutrition, Metabolic)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2665

MAXWELL THOMAS LAWS MD

Student in an Organized Health Care Education/Training Program

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-2203

CONNOR D SLEETH MD

Radiology (Diagnostic Radiology)

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-9400

ALEXA WEST RDN

Dietitian, Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-0000

SARA DOGOM BOHON MD

Student in an Organized Health Care Education/Training Program

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

JORDAN EMILY COURTRIGHT DNAP, CRNA

Nurse Anesthetist, Certified Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

MADISON SMITH

Dietitian, Registered

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 924-3627

MISS DIANA C WARGEL PA

Physician Assistant

1215 LEE ST
CHARLOTTESVILLE, VA 22908

Charlottesville City (434) 243-1000

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 Teresa Menadier's NPI number?

The NPI number for Teresa Menadier is 1679835383. It was assigned to this individual provider in the NPPES registry on June 10, 2012. The provider is also known as Teresa Valentin MD.

Where is Teresa Menadier located?

Teresa Menadier practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-0000.

What is Teresa Menadier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Teresa Menadier enrolled in Medicare?

Yes. Teresa Menadier 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 Teresa Menadier accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Teresa Menadier 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 Teresa Menadier affiliated with any hospitals?

According to CMS data, Teresa Menadier is affiliated with Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Teresa Menadier was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.