HENRY MENTON PRILLAMAN M.D.
NPI 1740268853
Urology in Newport News, VA

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
11848 ROCK LANDING DR, SUITE 402, NEWPORT NEWS, VA 23606(757) 873-1374(757) 466-1312 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Henry Menton Prillaman M.d. NPPES

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

HENRY MENTON PRILLAMAN M.D. (NPI 1740268853) is an individual urology provider in Newport News, Virginia, licensed in Virginia (0202057231) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of University Of Virginia School Of Medicine (1992).

NPPES Registry Identity

NPI1740268853
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameHENRY MENTON PRILLAMANCredential: M.D.
Location Address11848 ROCK LANDING DR, SUITE 402Newport News, VA 23606-4425
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318
Fax(757) 466-1312
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1992
Enumeration DateJanuary 9, 2006
Last NPPES UpdateFebruary 18, 2014
NPI 1740268853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in VA · 0202057231
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

11848 ROCK LANDING DR, Newport News, VA 23606

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

Henry Menton Prillaman 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 ID4385744101
PECOS Enrollment IDI20070710000225
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 15

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, 20-29 minutes 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.
520 services437 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
151 services133 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
113 services102 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
54 services32 patients
New patient office or other outpatient visit, 30-44 minutes 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.
49 services49 patients
New patient office or other outpatient visit, 45-59 minutes 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.
47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers41 claims5,490 services$1.49 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers26 claims3,810 services$6.18 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers16 claims550 services$0.20 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 20

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

Anesthesiology
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606
Nurse Anesthetist, Certified Registered
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606
Nurse Anesthetist, Certified Registered
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606
Anesthesiology
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606
Anesthesiology
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606
Anesthesiology
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606
Anesthesiology
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606
Anesthesiology
11848 ROCK LANDING DR
NEWPORT NEWS, VA 23606

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 Henry Prillaman's NPI number?

The NPI number for Henry Prillaman is 1740268853. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Henry Prillaman located?

Henry Prillaman practices at 11848 Rock Landing Dr Suite 402, Newport News, VA 23606. The listed phone number is (757) 873-1374.

What is Henry Prillaman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Henry Prillaman enrolled in Medicare?

Yes. Henry Prillaman 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 Henry Prillaman affiliated with any hospitals?

According to CMS data, Henry Prillaman is affiliated with Riverside Regional Medical Center, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Henry Prillaman was last updated on February 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.