ROSS C. BUERLEIN M.D.
NPI 1770926974
Internal Medicine - Gastroenterology in Charlottesville, VA

Q: What is Ross Buerlein's NPI number?

The NPI number for Ross Buerlein is 1770926974. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Ross Buerlein'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 Ross Buerlein was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment

79.39/100

CMS Quality Rating

1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 243-3090(434) 244-9445 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2020, Jul 15, 2020 (2 updates tracked since 2020).

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About Ross C. Buerlein M.d. NPPES

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

ROSS C. BUERLEIN M.D. (NPI 1770926974) is an individual gastroenterology provider in Charlottesville, Virginia, licensed in Virginia (0101261213) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Eastern Virginia Medical School (2013).

NPPES Registry Identity

NPI1770926974

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameROSS C. BUERLEINCredential: M.D.

Location Address1215 LEE STCharlottesville, VA 22908-2243

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 243-3090

Fax(434) 244-9445

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2013

Enumeration DateApril 8, 2013

Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration

NPPES CertifiedOctober 13, 2020

✔ NPI 1770926974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in VA · 0101261213

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.

1215 LEE ST, Charlottesville, VA 22908

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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

Ross C. Buerlein 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 ID840428983

PECOS Enrollment IDI20161116002781

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 17

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 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.

81 services76 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.

57 services52 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

53 services39 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.

53 services51 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

45 services34 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

42 services25 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

35 services17 patients

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.

32 services21 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.

28 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

28 services28 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.

21 services20 patients

Review by radiologist of image to guide opening of digestive tract 74360

This procedure involves a radiologist examining an image of your digestive tract. The image helps the radiologist determine the best way to open your digestive tract, if necessary. This is done to diagnose or treat certain conditions. It's a common, safe procedure.

17 services15 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

16 services16 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

16 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

14 services14 patients

Review by radiologist of image from tube placement into pancreatic duct using an endoscope 74329

This procedure involves an expert radiologist examining an image obtained from a tube placement into your pancreatic duct. An endoscope, a flexible tube with a camera, is used for this process. The aim is to assess the condition of your pancreas and ducts.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490004

Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County

Emergency services Birthing friendly

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City 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.

79.39/100

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

Scored as part of a group practice

Quality

73.66

Promoting Interoperability

100

Improvement Activities

Cost

57.65

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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 Ross Buerlein's NPI number?

The NPI number for Ross Buerlein is 1770926974. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Ross Buerlein located?

Ross Buerlein practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 243-3090.

What is Ross Buerlein's specialty?

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

Is Ross Buerlein enrolled in Medicare?

Yes. Ross Buerlein 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 Ross Buerlein affiliated with any hospitals?

According to CMS data, Ross Buerlein is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center and Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Ross Buerlein was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.