MARIA LAPLANTE MD
NPI 1811145253
Family Medicine in Front Royal, VA

Q: What is Maria Laplante's NPI number?

The NPI number for Maria Laplante is 1811145253. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Q: What is Maria Laplante's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Laplante was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 27, 2008PECOS EnrolledAccepts Medicare Assignment

67 RIVERTON COMMONS DR, FRONT ROYAL, VA 22630(540) 635-0848(540) 749-2190 Get Directions Write a Review

NPPES record last updated: February 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2021, Mar 16, 2020, Aug 7, 2019 and 1 more (4 updates tracked since 2016).

On this page

About Maria Laplante Md NPPES

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

MARIA LAPLANTE MD (NPI 1811145253) is an individual family medicine provider in Front Royal, Virginia, licensed in Virginia (0101246330) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811145253

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIA LAPLANTECredential: MD

Location Address67 RIVERTON COMMONS DRFront Royal, VA 22630-6768

Mailing Address203 E 4th AveRanson, WV 25438-1617 · (304) 725-6343

Phone(540) 635-0848

Fax(540) 749-2190

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2006

Enumeration DateAugust 27, 2008

Last NPPES UpdateFebruary 28, 20214 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2021

✔ NPI 1811145253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101246330✔ Licensed in WV · 26372✔ Licensed in TX · Q2791

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDermatologyTaxonomy 207N00000X · License 26372 (WV)

67 RIVERTON COMMONS DR, Front Royal, VA 22630

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Secondary Practice Locations 2

Location 1160 Merchant St Ste 100Winchester, VA 22603-4772 · Phone (540) 536-5560 · Fax (540) 536-5561

Location 2120 N Commerce Ave Ste 255Front Royal, VA 22630-2682 · Phone (540) 635-0800 · Fax (540) 635-0801

Other Identifiers 4

Medicaid340177001TX

Other340177002TX · Cshcn

Medicaid3810030015WV

Medicaid0101246330VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Peak Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Laplante 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 ID2264579549

PECOS Enrollment IDI20100610000672

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.

Medicare Billing Reassignments

Medicare enrollment records show Maria Laplante reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Warren Memorial Hospital, Inc.

Same address

Rural Health

67 RIVERTON COMMONS DR
Front Royal, VA 22630

Reassigned Medicare billing, Virginia enrollment
367 clinicians in this Medicare group

NPI 1417447871 (540) 635-0848

Valley Physician Enterprise, Inc.

14 mi

Obstetrics & Gynecology

611 W JUBAL EARLY DR STE A1
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
386 clinicians in this Medicare group

NPI 1255222535 (540) 536-7960

West Virginia University Medical Corporation

29 mi

Family Medicine

300 S PRESTON ST
Ranson, WV 25438

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1215785563 (304) 728-1795

University Of Texas Health Science Center At San Antonio

1,328 mi

Diagnostic Radiology

25753 OLD FREDERICKSBURG
Boerne, TX 78015

Reassigned Medicare billing, Texas enrollment
2,397 clinicians in this Medicare group

NPI 1417921834 (210) 450-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22630 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 4

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

DR. CRAIG HUDGINS PHILLIPS MD

Family Medicine

67 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630

Warren County (540) 635-0848

COLE MICHAEL BOYCE FNP-C

Nurse Practitioner (Family)

67 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630

Warren County (540) 635-0848

ELIZABETH BERRY FNP

Nurse Practitioner (Family)

67 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630

Warren County (540) 635-0848

WARREN MEMORIAL HOSPITAL, INC.

Clinic/Center (Rural Health)

67 RIVERTON COMMONS DR
FRONT ROYAL, VA 22630

Warren County (540) 635-0848

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 Maria Laplante's NPI number?

The NPI number for Maria Laplante is 1811145253. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Maria Laplante located?

Maria Laplante practices at 67 Riverton Commons Dr, Front Royal, VA 22630. The listed phone number is (540) 635-0848.

What is Maria Laplante's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Laplante enrolled in Medicare?

Yes. Maria Laplante 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.

Which organizations bill Medicare for Maria Laplante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Laplante reassigns Medicare benefits to 4 organizations: Warren Memorial Hospital, Inc. (Front Royal, VA), Valley Physician Enterprise, Inc. (Winchester, VA), West Virginia University Medical Corporation (Ranson, WV) and University Of Texas Health Science Center At San Antonio (Boerne, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Laplante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Laplante accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance list Maria Laplante 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.

Is Maria Laplante affiliated with any hospitals?

According to CMS data, Maria Laplante is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Laplante was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.