DR. TERRANCE LAMONT PYLES M.D.
NPI 1790749109
Internal Medicine in Culpeper, VA

Q: What is Terrance Pyles's NPI number?

The NPI number for Terrance Pyles is 1790749109. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Terrance Pyles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Terrance Pyles was last updated on February 24, 2023. 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 April 13, 2006PECOS EnrolledAccepts Medicare Assignment

501 SUNSET LN, CULPEPER, VA 22701(703) 396-5293 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Dec 19, 2016 (2 updates tracked since 2016).

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About Dr. Terrance Lamont Pyles M.d. NPPES

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

DR. TERRANCE LAMONT PYLES M.D. (NPI 1790749109) is an individual internal medicine provider in Culpeper, Virginia, licensed in Virginia (0101277071) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1790749109

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. TERRANCE LAMONT PYLESCredential: M.D.

Location Address501 SUNSET LNCulpeper, VA 22701-3917

Mailing AddressPo Box 748613Atlanta, GA 30384-8613

Phone(703) 396-5293

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1998

Enumeration DateApril 13, 2006

Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1790749109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in VA · 0101277071✔ Licensed in FL · ME81418

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.

501 SUNSET LN, Culpeper, VA 22701

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Secondary Practice Location 1

Location 18901 Wisconsin AveBethesda, MD 20889-0001 · Phone (301) 319-8168

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. Terrance Lamont Pyles 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 ID8820314438

PECOS Enrollment IDI20150225001880

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

301 services295 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

23 services23 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490022

Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County

Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490140

Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$55.27 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.

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