JOHN JOSEPH PAHIRA MD
NPI 1780672758
Urology in Leesburg, VA

Q: What is John Pahira's NPI number?

The NPI number for John Pahira is 1780672758. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is John Pahira's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Pahira was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 12, 2005PECOS EnrolledAccepts Medicare Assignment

92.61/100

CMS Quality Rating

19415 DEERFIELD AVENUE, SUITE 112, LEESBURG, VA 20176(703) 724-1195(703) 724-4495 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 29, 2022, Sep 28, 2022, Apr 22, 2022 (3 updates tracked since 2022).

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About John Joseph Pahira Md NPPES

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

JOHN JOSEPH PAHIRA MD (NPI 1780672758) is an individual urology provider in Leesburg, Virginia, licensed in Virginia (0101042972) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1974).

NPPES Registry Identity

NPI1780672758

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJOHN JOSEPH PAHIRACredential: MD

Location Address19415 DEERFIELD AVENUE, SUITE 112Leesburg, VA 20176-8470

Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643

Phone(703) 724-1195

Fax(703) 724-4495

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 1974

Enumeration DateOctober 12, 2005

Last NPPES UpdateNovember 29, 20223 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1780672758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in VA · 0101042972✔ Licensed in DC · 11691

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.

19415 DEERFIELD AVENUE, SUITE 112, Leesburg, VA 20176

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Other Identifiers 1

Medicaid1780672758VA

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

John Joseph Pahira Md 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 ID547295057

PECOS Enrollment IDI20051004000578, I20220419001464

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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

192 services136 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

61 services48 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

54 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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.

92.61/100

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

Scored through an Alternative Payment Model

Quality

85.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

4 suppliers43 claims6,000 services$4.75 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 11

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

DR. KYLE MATTHEW LESTER D.O.

Urology