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DR. VIRGINIA PASCUAL M.D.
NPI 1780775247
Internal Medicine in Byron, GA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
212 GA HIGHWAY 49 N STE 1900, BYRON, GA 31008(478) 238-3552(478) 259-6170 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Virginia Pascual M.d. NPPES

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

DR. VIRGINIA PASCUAL M.D. (NPI 1780775247) is an individual internal medicine provider in Byron, Georgia, licensed in Montana (7919) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1988).

NPPES Registry Identity

NPI1780775247
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. VIRGINIA PASCUALCredential: M.D.
Location Address212 GA HIGHWAY 49 N STE 1900Byron, GA 31008-4059
Mailing Address1408 Kilrush DrOrmond Beach, FL 32174-2882 · (406) 495-7265 · Fax (406) 443-4526
Phone(478) 238-3552
Fax(478) 259-6170
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1988
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1780775247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MT · 7919
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.
212 GA HIGHWAY 49 N STE 1900, Byron, GA 31008
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Other Identifiers 3

Medicaid0024191MT
Medicaid1193597WY
Other13771MT · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dr. Virginia Pascual 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 ID7911912845
PECOS Enrollment IDI20220406000922, I20251117002494
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 4

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 low level od decision making, if using time, 20 minutes or more 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.
170 services95 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
51 services51 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
34 services33 patients
Therapy procedure using a positive pressure ventilator 94660
A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31008 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 6

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

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier12 claims60 services$15.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier15 claims15 services$61.44 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier19 claims19 services$16.99 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier18 claims108 services$2.51 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier13 claims13 services$152.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier47 claims47 services$47.35 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

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

SLIIIP MEDICAL GROUP P A
Internal Medicine (Sleep Medicine)
212 GA HIGHWAY 49 N STE 1900
BYRON, GA 31008
Peach County (478) 238-3552

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 Virginia Pascual's NPI number?

The NPI number for Virginia Pascual is 1780775247. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Virginia Pascual located?

Virginia Pascual practices at 212 Ga Highway 49 N Ste 1900, Byron, GA 31008. The listed phone number is (478) 238-3552.

What is Virginia Pascual's specialty?

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

Is Virginia Pascual enrolled in Medicare?

Yes. Virginia Pascual 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.

What insurance does Virginia Pascual accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Virginia Pascual as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Virginia Pascual was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.