JAMIE M KALAFATICH DO
NPI 1972764165
Family Medicine in Forest, VA

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
16890 FOREST RD, FOREST, VA 24551(434) 200-7210 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Dec 17, 2015 (2 updates tracked since 2015).

About Jamie M Kalafatich Do NPPES

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

JAMIE M KALAFATICH DO (NPI 1972764165) is an individual family medicine provider in Forest, Virginia, licensed in Virginia (0102202308) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972764165
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJAMIE M KALAFATICHCredential: DO
Location Address16890 FOREST RDForest, VA 24551-4059
Mailing Address16890 Forest RdForest, VA 24551-4059 · (434) 200-7210 · Fax (434) 525-2138
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 19, 2008
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1972764165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0102202308 Licensed in MN · 56344 Licensed in VA · 0116018762
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16890 FOREST RD, Forest, VA 24551

Other Names 1

Former Name (1)Jamie R Matherly Do

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

Jamie M Kalafatich Do 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 ID547318909
PECOS Enrollment IDI20090423000551, I20130430000351
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 11

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.
143 services135 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.
106 services99 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
74 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
63 services63 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services32 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490088
Location1613 Oakwood StreetBedford, VA 24523 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24551 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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Family Medicine
16890 FOREST RD
FOREST, VA 24551
Physician Assistant
16890 FOREST RD
FOREST, VA 24551
Nurse Practitioner (Acute Care)
16890 FOREST RD
FOREST, VA 24551
Family Medicine
16890 FOREST RD
FOREST, VA 24551
Family Medicine
16890 FOREST RD
FOREST, VA 24551
Physician Assistant
16890 FOREST RD
FOREST, VA 24551
Physician Assistant
16890 FOREST RD
FOREST, VA 24551
Physician Assistant
16890 FOREST RD
FOREST, VA 24551

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 Jamie Kalafatich's NPI number?

The NPI number for Jamie Kalafatich is 1972764165. It was assigned to this individual provider in the NPPES registry on June 19, 2008. The provider is also known as Jamie R Matherly Do.

Where is Jamie Kalafatich located?

Jamie Kalafatich practices at 16890 Forest Rd, Forest, VA 24551. The listed phone number is (434) 200-7210.

What is Jamie Kalafatich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jamie Kalafatich enrolled in Medicare?

Yes. Jamie Kalafatich 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 Jamie Kalafatich accept?

Health plans from Medica list Jamie Kalafatich 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 Jamie Kalafatich affiliated with any hospitals?

According to CMS data, Jamie Kalafatich is affiliated with Centra Health - Lynchburg Gen Hospital and Centra Bedford Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jamie Kalafatich was last updated on July 18, 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.