DR. EUGENE A. SHOOTER, JR. PH.D.
NPI 1720024821
Psychologist - Clinical in Alexandria, VA

Q: What is Eugene Shooter, Jr.'s NPI number?

The NPI number for Eugene Shooter, Jr. is 1720024821. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Gene Shooter, Jr. Ph.D..

Q: What is Eugene Shooter, Jr.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment

5276 DAWES AVE, ALEXANDRIA, VA 22311(703) 379-7350(703) 379-7352 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Eugene A. Shooter, Jr. Ph.d. NPPES

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

DR. EUGENE A. SHOOTER, JR. PH.D. (NPI 1720024821) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (00810002612) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1993).

NPPES Registry Identity

NPI1720024821

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. EUGENE A. SHOOTER, JR.Credential: PH.D.

Location Address5276 DAWES AVEAlexandria, VA 22311-1404

Mailing Address5276 Dawes AveAlexandria, VA 22311-1404 · (703) 379-7350 · Fax (703) 379-7352

Phone(703) 379-7350

Fax(703) 379-7352

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1993

Enumeration DateJune 20, 2006

Last NPPES UpdateMarch 6, 2008

✔ NPI 1720024821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in VA · 00810002612✔ Licensed in DC · PSY1878✔ Licensed in HI · PSY518

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5276 DAWES AVE, Alexandria, VA 22311

Open in Google Maps ↗

Other Names 1

Other Name (5)Gene Shooter, Jr. Ph.d.

Other Identifiers 14

Other453769VA · Pci Anthem

Other2787110VA · Pci Aetna

Other142975VA · Anthem Healthkeepers

Medicare ID-Type UnspecifiedOOB225PO9VA · Pci Va Medicare

Medicare PIN007575C24DC

Other48900016VA · Carefirst Bc/bs

Other110936VA · Pci Aps

Other142975VA · T-med Bc/bs Va

Other158367VA · Pci Tricare

Other158367VA · Pci Value Options

OtherG3960017DC · Bcbs Dc

Other2122539VA · Mamsi

Other228758VA · Pci Kaiser Permanente

Other9123953VA · Phcs

Accepted Insurance

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

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

Dr. Eugene A. Shooter, Jr. Ph.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 ID1153736525

PECOS Enrollment IDI20210217000061

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 Eugene Shooter, Jr. reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Potomac Center Inc

1.5 mi

Professional

5500 HOLMES RUN PKWY, STE C4
Alexandria, VA 22304

Reassigned Medicare billing, District of Columbia enrollment
6 clinicians in this Medicare group

NPI 1457403099 (703) 379-7350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22311 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 10

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

MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC.

Nuclear Medicine (Nuclear Cardiology)