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DR. ANTHONY JOHN DISTASIO II M.D.
NPI 1831195353
Orthopaedic Surgery - Orthopaedic Trauma in Norfolk, VA

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
600 GRESHAM DR STE 204, NORFOLK, VA 23507(757) 388-5680(757) 388-5681 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2024, Apr 14, 2020, Oct 28, 2016 (3 updates tracked since 2016).

About Dr. Anthony John Distasio Ii M.d. NPPES

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

DR. ANTHONY JOHN DISTASIO II M.D. (NPI 1831195353) is an individual orthopaedic trauma provider in Norfolk, Virginia, licensed in Virginia (0101041449) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of George Washington University School Of Medicine (1986).

NPPES Registry Identity

NPI1831195353
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameDR. ANTHONY JOHN DISTASIO IICredential: M.D.
Location Address600 GRESHAM DR STE 204Norfolk, VA 23507-1904
Mailing Address600 Gresham Dr Ste 204Norfolk, VA 23507-1904 · (757) 388-5680 · Fax (757) 388-5681
Phone(757) 388-5680
Fax(757) 388-5681
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1986
Enumeration DateJune 21, 2005
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1831195353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in VA · 0101041449
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 0101041449 (VA)
600 GRESHAM DR STE 204, Norfolk, VA 23507
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Other Identifiers 1

Medicaid007306091VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Dr. Anthony John Distasio Ii 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 ID5890735641
PECOS Enrollment IDI20050511000243, I20161222000325
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

2

Medicare enrollment records show Anthony Distasio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albemarle Physician Services - Sentara, Inc
5.3 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1942443130 (757) 252-2900
Sentara Medical Group
5.3 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

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

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.
20 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients
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.
13 services12 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

MS. HOLLY LYNN GRIFFITH ATC
Physician Assistant
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680
PAUL BRYSON BROWN NP
Nurse Practitioner (Family)
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680
ELIZABETH ANN SCHLECK FNP
Nurse Practitioner (Family)
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680
MANAS NIGAM B.S.
Plastic Surgery
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680
KYLE ALLEN SPANIK PA-C
Physician Assistant
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680
HARRY JOSEPH MOLLIGAN IV MD
Orthopaedic Surgery
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680
DR. DAVID CHRISTOPHER ZUPRUK D.O.
Orthopaedic Surgery (Orthopaedic Trauma)
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680
SHANNON K HOLLOMAN PA-C
Physician Assistant
600 GRESHAM DR STE 204
NORFOLK, VA 23507
Norfolk City (757) 388-5680

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 Anthony Distasio's NPI number?

The NPI number for Anthony Distasio is 1831195353. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Anthony Distasio located?

Anthony Distasio practices at 600 Gresham Dr Ste 204, Norfolk, VA 23507. The listed phone number is (757) 388-5680.

What is Anthony Distasio's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Anthony Distasio enrolled in Medicare?

Yes. Anthony Distasio 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 Anthony Distasio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Distasio reassigns Medicare benefits to 2 organizations: Albemarle Physician Services - Sentara, Inc (Norfolk, VA) and Sentara Medical Group (Norfolk, VA). 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 Anthony Distasio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Distasio accept?

Health plans from Cigna Healthcare list Anthony Distasio 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 Anthony Distasio affiliated with any hospitals?

According to CMS data, Anthony Distasio is affiliated with Sentara Albemarle Medical Center and Sentara Norfolk General Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Distasio was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.