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GAVIN J. MACCLEERY P.A.
NPI 1942374483
Physician Assistant in Charlottesville, VA

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
545 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903(434) 243-5432(434) 243-5460 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Aug 2, 2021, Aug 21, 2020 (3 updates tracked since 2020).

About Gavin J. Maccleery P.a. NPPES

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

GAVIN J. MACCLEERY P.A. (NPI 1942374483) is an individual physician assistant in Charlottesville, Virginia, licensed in Virginia (0110002412) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1942374483
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGAVIN J. MACCLEERYCredential: P.A.
Location Address545 RAY C HUNT DRCharlottesville, VA 22903-2981
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 243-5432
Fax(434) 243-5460
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2006
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1942374483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110002412
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
545 RAY C HUNT DR, Charlottesville, VA 22903
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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2981 · Phone (434) 924-0211

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

Gavin J. Maccleery P.a. 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 ID2163525718
PECOS Enrollment IDI20070320000191
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services88 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.
77 services74 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.
45 services45 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.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 14

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

MICHAEL DAVID WARWICK
Physical Medicine & Rehabilitation
545 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5676
LAURA W. LEE M.D.
Physical Medicine & Rehabilitation
545 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5600
VENKAT PERUMAL M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
545 RAY C HUNT DR, STE 310
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5432
ELOISE SHARP PA
Physician Assistant
545 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5035
JOSEPH A. FALLON P.A.
Physician Assistant
545 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5432
DONALD C. MANNING M.D., PH.D
Anesthesiology (Pain Medicine)
545 RAY C HUNT DR, UVA PAIN MANAGEMENT
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2283
DANIEL J SULLIVAN D.O.
Physical Medicine & Rehabilitation
545 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 244-2000
DAVID B WEISS MD
Orthopaedic Surgery (Orthopaedic Trauma)
545 RAY C HUNT DR, STE 310
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5432

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 Gavin Maccleery's NPI number?

The NPI number for Gavin Maccleery is 1942374483. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Gavin Maccleery located?

Gavin Maccleery practices at 545 Ray C Hunt Dr, Charlottesville, VA 22903. The listed phone number is (434) 243-5432.

What is Gavin Maccleery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gavin Maccleery enrolled in Medicare?

Yes. Gavin Maccleery 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 Gavin Maccleery affiliated with any hospitals?

According to CMS data, Gavin Maccleery is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for Gavin Maccleery was last updated on August 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.