DR. PAYAM POOYAN M.D.
NPI 1841254265
Internal Medicine - Pulmonary Disease in Leesburg, VA

Q: What is Payam Pooyan's NPI number?

The NPI number for Payam Pooyan is 1841254265. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Payam Pooyan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Payam Pooyan was last updated on July 10, 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

77.78/100

CMS Quality Rating

19455 DEERFIELD AVE STE 206, LEESBURG, VA 20176(703) 858-9608(703) 858-9618 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2023, Jun 11, 2019, Jun 16, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Payam Pooyan M.d. NPPES

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

DR. PAYAM POOYAN M.D. (NPI 1841254265) is an individual pulmonary disease provider in Leesburg, Virginia, licensed in Virginia (0101257751) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1841254265

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PAYAM POOYANCredential: M.D.

Location Address19455 DEERFIELD AVE STE 206Leesburg, VA 20176-8102

Mailing Address19455 Deerfield Ave Ste 206Leesburg, VA 20176-8102 · (703) 858-9608 · Fax (703) 858-9618

Phone(703) 858-9608

Fax(703) 858-9618

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateApril 13, 2006

Last NPPES UpdateJuly 10, 20235 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1841254265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in VA · 0101257751

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 0101257751 (VA)

Also ListedHospitalistTaxonomy 208M00000X · License 37872 (TN)

19455 DEERFIELD AVE STE 206, Leesburg, VA 20176

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Secondary Practice Location 1

Location 1119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · Phone (423) 282-1480 · Fax (423) 928-1353

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Molina 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. Payam Pooyan 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 ID4981674983

PECOS Enrollment IDI20150625002437

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 Payam Pooyan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary And Critical Care Associates, P.C.

Same address

Pulmonary Disease

19455 DEERFIELD AVE STE 206
Leesburg, VA 20176

Reassigned Medicare billing, District of Columbia enrollment
7 clinicians in this Medicare group

NPI 1023008182 (703) 858-9608

Commonwealth Critical Care LLC

32 mi

Critical Care Medicine

2501 PARKERS LN
Alexandria, VA 22306

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

NPI 1891210035 (703) 664-7000

Winchester Medical Center

35 mi

Family Medicine

217 GROCERY AVENUE, SUITE B
Winchester, VA 22602

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

NPI 1689463671 (540) 536-7700

Ccmma Tx PLLC

216 mi

Anesthesiology

2 PARK AVE STE 2039
New York, NY 10016

Reassigned Medicare billing, Texas enrollment
62 clinicians in this Medicare group

NPI 1841829819 (845) 702-2711

Ccmma Sc LLC

389 mi

Critical Care Medicine

129 N WASHINGTON ST
Sumter, SC 29150

Reassigned Medicare billing, District of Columbia enrollment
6 clinicians in this Medicare group

NPI 1245715796 (803) 774-9000

Ccmma Ca PC

2,365 mi

Critical Care Medicine

1100 BUTTE ST
Redding, CA 96001

Reassigned Medicare billing, California enrollment
46 clinicians in this Medicare group

NPI 1679293443 (530) 244-5400

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

187 services165 patients

Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509

A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.

105 services83 patients

Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508

A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.

80 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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.

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.

77.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.47

Promoting Interoperability

Improvement Activities

Cost

65.8

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

97%1,379 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

88%1,018 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

71%339 patients3/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

24%836 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

23%339 patients2/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

29%696 patients2/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

43%373 patients2/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 388 patients

Patients tobacco: 93% · 388 patients

15%33 patients1/55-star benchmark: 98%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

87%836 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

16%836 patients1/55-star benchmark: 75%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

0%936 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

15 suppliers99 claims99 services$30.21 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers17 claims34 services$1.02 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers47 claims47 services$73.46 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers52 claims135 services$29.07 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers51 claims301 services$14.17 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers19 claims111 services$12.23 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

12 suppliers76 claims76 services$44.14 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

16 suppliers75 claims75 services$14.02 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers23 claims23 services$10.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

16 suppliers113 claims611 services$1.67 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers53 claims53 services$9.98 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers131 claims136 services$13.23 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims24 services$40.73 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers27 claims27 services$912.11 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers15 claims15 services$49.42 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers18 claims18 services$815.82 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier61 claims65 services$10.82 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers30 claims30 services$3.21 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

7 suppliers102 claims112 services$25.87 avg. paid by Medicare

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

9 suppliers242 claims247 services$66.63 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers34 claims34 services$32.38 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers39 claims7,091 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers17 claims1,560 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers11 claims966 services$0.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$33.29 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers52 claims52 services$23.61 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 2

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

PULMONARY AND CRITICAL CARE ASSOCIATES, P.C.

Internal Medicine (Pulmonary Disease)

19455 DEERFIELD AVE STE 206
LEESBURG, VA 20176

Loudoun County (703) 858-9608

NAZANEEN ANWARI

Physician Assistant (Medical)

19455 DEERFIELD AVE STE 206
LEESBURG, VA 20176

Loudoun County (703) 858-9608

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 Payam Pooyan's NPI number?

The NPI number for Payam Pooyan is 1841254265. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Payam Pooyan located?

Payam Pooyan practices at 19455 Deerfield Ave Ste 206, Leesburg, VA 20176. The listed phone number is (703) 858-9608.

What is Payam Pooyan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Payam Pooyan enrolled in Medicare?

Yes. Payam Pooyan 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 Payam Pooyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payam Pooyan reassigns Medicare benefits to 6 organizations: Pulmonary And Critical Care Associates, P.C. (Leesburg, VA), Commonwealth Critical Care LLC (Alexandria, VA), Winchester Medical Center (Winchester, VA), Ccmma Tx PLLC (New York, NY), Ccmma Sc LLC (Sumter, SC) and 1 more organization, listed in the Medicare section above. 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 Payam Pooyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payam Pooyan accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and Molina Healthcare list Payam Pooyan 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 Payam Pooyan was last updated on July 10, 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.