DR. DANA C ACKERLY M.D.
NPI 1730316555
Internal Medicine in Washington, DC

Active since June 19, 2009Opted out of Medicare · through Jul 18, 2028
4910 MASSACHUSETTS AVE NW STE 215, WASHINGTON, DC 20016(202) 953-0990(202) 845-7344 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 27, 2025, Jan 26, 2023 (2 updates tracked since 2023).

About Dr. Dana C Ackerly M.d. NPPES

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

DR. DANA C ACKERLY M.D. (NPI 1730316555) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD045878) and active in the NPI registry since June 2009. He has opted out of Medicare through July 18, 2028 and remains eligible to order and refer and is a graduate of Duke University School Of Medicine (2009).

NPPES Registry Identity

NPI1730316555
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANA C ACKERLYCredential: M.D.
Location Address4910 MASSACHUSETTS AVE NW STE 215Washington, DC 20016-4368
Mailing Address4910 Massachusetts Ave Nw Ste 215Washington, DC 20016-4368 · (202) 953-0990 · Fax (202) 845-7344
Fax(202) 845-7344
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1730316555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DC · MD045878✔ Licensed in MA · L-240151✔ Licensed in TN · MD54022
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MD54022 (TN)
4910 MASSACHUSETTS AVE NW STE 215, Washington, DC 20016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dana C Ackerly M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2018 through July 18, 2028.

Opt-Out Effective DateJuly 18, 2018
Opt-Out In Effect ThroughJuly 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
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.

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.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,718 services$0.27 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$27.78 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 4

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

Internal Medicine (Geriatric Medicine)
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016
Internal Medicine
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016
Internal Medicine
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016
Physician Assistant
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016

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 Dana Ackerly's NPI number?

The NPI number for Dana Ackerly is 1730316555. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Dana Ackerly located?

Dana Ackerly practices at 4910 Massachusetts Ave NW Ste 215, Washington, DC 20016. The listed phone number is (202) 953-0990.

What is Dana Ackerly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dana Ackerly enrolled in Medicare?

No. Dana Ackerly has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dana Ackerly was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.