PHILIP BUDIHARDJO DO
NPI 1811198344
Radiology - Diagnostic Radiology in Fredericksburg, VA

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401(540) 741-5610 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Jul 17, 2018 (2 updates tracked since 2018).

About Philip Budihardjo Do NPPES

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

PHILIP BUDIHARDJO DO (NPI 1811198344) is an individual diagnostic radiology provider in Fredericksburg, Virginia, licensed in Virginia (0102209896) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1811198344
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePHILIP BUDIHARDJOCredential: DO
Location Address1001 SAM PERRY BLVDFredericksburg, VA 22401-4453
Mailing Address1340 Central Park Blvd Ste 100Fredericksburg, VA 22401-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 31, 2007
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1811198344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in VA · 0102209896 Licensed in IA · 3977
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1001 SAM PERRY BLVD, Fredericksburg, VA 22401

Secondary Practice Locations 4

Location 11969 W Hart RdBeloit, WI 53511 · Phone (608) 362-7888
Location 2101 Hospital Center BlvdStafford, VA 22554-6200 · Phone (540) 741-5611
Location 310401 Spotsylvania Ave Ste 103Fredericksburg, VA 22408-8609 · Phone (540) 741-5611
Location 45501 Plank Rd Ste 100Fredericksburg, VA 22407-6638 · Phone (540) 741-5611

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

Philip Budihardjo Do 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 ID3678623634
PECOS Enrollment IDI20101101000456, I20250328002297, I20260424001189
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 44

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
417 services300 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
252 services252 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
251 services251 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
194 services183 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
179 services164 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
158 services141 patients

Hospital Affiliations CMS Care Compare 5

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Anesthesiology
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Anesthesiology
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Internal Medicine (Cardiovascular Disease)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

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 Philip Budihardjo's NPI number?

The NPI number for Philip Budihardjo is 1811198344. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Philip Budihardjo located?

Philip Budihardjo practices at 1001 Sam Perry Blvd, Fredericksburg, VA 22401. The listed phone number is (540) 741-5610.

What is Philip Budihardjo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Philip Budihardjo enrolled in Medicare?

Yes. Philip Budihardjo 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 Philip Budihardjo affiliated with any hospitals?

According to CMS data, Philip Budihardjo is affiliated with The Monroe Clinic, Ssm Health St Clare Hospital - Baraboo, Beloit Health System, Columbus Community Hospital and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Philip Budihardjo was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.