CYNTHIA M WILBORNE FNP
NPI 1912951872
Nurse Practitioner - Family in Danville, VA

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.24/100
CMS Quality Rating
101 HOLBROOK ST, DANVILLE, VA 24541(434) 792-4041(434) 792-0124 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia M Wilborne Fnp NPPES

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

CYNTHIA M WILBORNE FNP (NPI 1912951872) is an individual family provider in Danville, Virginia, licensed in Virginia (0024116437) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Sovah Health Danville, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1912951872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCYNTHIA M WILBORNECredential: FNP
Location Address101 HOLBROOK STDanville, VA 24541-1759
Mailing Address101 Holbrook StDanville, VA 24541-1759 · (434) 792-4041 · Fax (434) 792-0124
Fax(434) 792-0124
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 22, 2006
Last NPPES UpdateAugust 29, 2011
NPI 1912951872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024116437
101 HOLBROOK ST, Danville, VA 24541

Other Identifiers 2

Medicare ID-Type Unspecified00W201D09VA · Va Medicare (trailblazer)
Medicaid010133386VA

Accepted Insurance

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

Cynthia M Wilborne Fnp 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 ID4587613146
PECOS Enrollment IDI20050120000806
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 5

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
505 services314 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.
403 services256 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
119 services119 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
65 services50 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.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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.

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.

95.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Promoting Interoperability100
Improvement Activities40
Cost82.94

Other Providers at the Same Location NPPES 17

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

Internal Medicine
101 HOLBROOK ST
DANVILLE, VA 24541
Specialist
101 HOLBROOK ST
DANVILLE, VA 24541
Specialist
101 HOLBROOK ST
DANVILLE, VA 24541
Obstetrics & Gynecology
101 HOLBROOK ST
DANVILLE, VA 24541
Nurse Practitioner (Family)
101 HOLBROOK ST
DANVILLE, VA 24541
Nurse Practitioner (Family)
101 HOLBROOK ST
DANVILLE, VA 24541
Internal Medicine (Gastroenterology)
101 HOLBROOK ST
DANVILLE, VA 24541
Nurse Practitioner (Obstetrics & Gynecology)
101 HOLBROOK ST
DANVILLE, VA 24541

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 Cynthia Wilborne's NPI number?

The NPI number for Cynthia Wilborne is 1912951872. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Cynthia Wilborne located?

Cynthia Wilborne practices at 101 Holbrook St, Danville, VA 24541. The listed phone number is (434) 792-4041.

What is Cynthia Wilborne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cynthia Wilborne enrolled in Medicare?

Yes. Cynthia Wilborne 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.

What insurance does Cynthia Wilborne accept?

Health plans from AmeriHealth Caritas Next list Cynthia Wilborne 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 Cynthia Wilborne affiliated with any hospitals?

According to CMS data, Cynthia Wilborne is affiliated with Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Cynthia Wilborne was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.