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JAMES METCALFE CULVER MD
NPI 1922064278
Obstetrics & Gynecology in Charlottesville, VA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
600 PETER JEFFERSON PKWY, STE 290, CHARLOTTESVILLE, VA 22911(434) 977-4488(434) 977-6103 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Metcalfe Culver Md NPPES

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

JAMES METCALFE CULVER MD (NPI 1922064278) is an individual obstetrics & gynecology provider in Charlottesville, Virginia, licensed in Virginia (0101234810) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Maine Coast Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1998).

NPPES Registry Identity

NPI1922064278
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES METCALFE CULVERCredential: MD
Location Address600 PETER JEFFERSON PKWY, STE 290Charlottesville, VA 22911
Mailing Address600 Peter Jefferson Pkwy, Ste 290Charlottesville, VA 22911 · (434) 977-4488 · Fax (434) 977-6103
Phone(434) 977-4488
Fax(434) 977-6103
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1998
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1922064278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101234810
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
600 PETER JEFFERSON PKWY, Charlottesville, VA 22911
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified002194J00
Medicare UPINH73065

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

James Metcalfe Culver 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 ID7719161363
PECOS Enrollment IDI20240928000176
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

5

Medicare enrollment records show James Culver reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Virginia, LLC
57 mi
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 100
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 315 clinicians in this Medicare group
NPI 1972807394 (800) 967-2289
Virginia Physicians For Women Ltd
58 mi
Obstetrics & Gynecology
1212 KOGER CENTER BLVD
North Chesterfield, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • 90 clinicians in this Medicare group
NPI 1639137979 (804) 897-2100
Dominion Women's Health, Inc.
64 mi
Obstetrics & Gynecology
8239 MEADOWBRIDGE RD
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 63 clinicians in this Medicare group
NPI 1932289592 (804) 730-0800
The Blue Hill Memorial Hospital
676 mi
Critical Access
57 WATER STREET
Blue Hill, ME 04614
  • Reassigned Medicare billing, Maine enrollment
  • 125 clinicians in this Medicare group
NPI 1023057809 (207) 374-3400
Maine Coast Regional Health Facilities
688 mi
Internal Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 174 clinicians in this Medicare group
NPI 1598152035 (207) 664-5304

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 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.

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.
119 services119 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.
119 services119 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
52 services52 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.
46 services27 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$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.

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.

DRS RECORD & RECORD OPTOMETRISTS PC
Optometrist
600 PETER JEFFERSON PKWY, SUITE 390
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 975-2420
MRS. DONNA FREDE VINAL CNM PHD
Midwife
600 PETER JEFFERSON PKWY, SUITE 300
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 293-9800
DR. WILLIAM SUKOVICH MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
600 PETER JEFFERSON PKWY, STE 170
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 977-3001
ALBEMARLE ENDOCRINOLOGY PLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
600 PETER JEFFERSON PKWY, SUITE 200
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-0934
EMILY B HUFFSTETLER M.D.
Obstetrics & Gynecology
600 PETER JEFFERSON PKWY, SUITE 290
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 977-4488
INES W SOUKOULIS MD
Dermatology
600 PETER JEFFERSON PKWY, SUITE 230
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 984-2400
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
Optometrist
600 PETER JEFFERSON PKWY
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 975-2420
MICHAEL L ARNOLD MD
Obstetrics & Gynecology
600 PETER JEFFERSON PKWY, STE 290
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 977-4488

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 James Culver's NPI number?

The NPI number for James Culver is 1922064278. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is James Culver located?

James Culver practices at 600 Peter Jefferson Pkwy Ste 290, Charlottesville, VA 22911. The listed phone number is (434) 977-4488.

What is James Culver's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Culver enrolled in Medicare?

Yes. James Culver 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 James Culver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Culver reassigns Medicare benefits to 5 organizations: Obhg Virginia, LLC (Midlothian, VA), Virginia Physicians For Women Ltd (North Chesterfield, VA), Dominion Women's Health, Inc. (Mechanicsville, VA), The Blue Hill Memorial Hospital (Blue Hill, ME) and Maine Coast Regional Health Facilities (Ellsworth, ME). 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 James Culver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Culver accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list James Culver 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 James Culver affiliated with any hospitals?

According to CMS data, James Culver is affiliated with Northern Light Maine Coast Hospital.

When was this NPI record last updated?

The NPPES record for James Culver was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.