DR. NATHAN R SHAPIRO M.D
NPI 1992703045
Internal Medicine in Manassas, VA

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
8525 ROLLING RD, SUITE 222, MANASSAS, VA 20110(703) 334-0720(703) 334-0750 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nathan R Shapiro M.d NPPES

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

DR. NATHAN R SHAPIRO M.D (NPI 1992703045) is an individual internal medicine provider in Manassas, Virginia, licensed in Virginia (0101244821) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1992703045
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NATHAN R SHAPIROCredential: M.D
Location Address8525 ROLLING RD, SUITE 222Manassas, VA 20110-3647
Mailing Address8525 Rolling Rd, Suite 222Manassas, VA 20110-3647 · (703) 334-0720 · Fax (703) 334-0750
Fax(703) 334-0750
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 12, 2005
Last NPPES UpdateMay 11, 2010
NPI 1992703045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in VA · 0101244821 Licensed in NY · 148475
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8525 ROLLING RD, Manassas, VA 20110

Other Identifiers 5

Other0084086NY · Ghi
Medicare UPIND38326NY
Medicare ID-Type UnspecifiedNSO2224110NY
OtherKP545NY · Oxford
Other112492182NY · Provider Id#

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

Dr. Nathan R Shapiro 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 ID4688703820
PECOS Enrollment IDI20140207001310
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 20

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.
531 services240 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.
271 services229 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
228 services205 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
178 services178 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
177 services17 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
165 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers21 claims76 services$5.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims17 services$1.06 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims337 services$4.48 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,040 services$0.26 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$52.53 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$34.02 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 20

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

Physical Therapist
8525 ROLLING RD, SUITE 300
MANASSAS, VA 20110
Physician Assistant (Medical)
8525 ROLLING RD, SUITE 300
MANASSAS, VA 20110
Orthopaedic Surgery
8525 ROLLING RD, SUITE 300
MANASSAS, VA 20110
Physical Therapist
8525 ROLLING RD, SUITE 300
MANASSAS, VA 20110
Family Medicine
8525 ROLLING RD, SUITE 220
MANASSAS, VA 20110
Orthopaedic Surgery
8525 ROLLING RD, SUITE 200
MANASSAS, VA 20110
Pain Medicine (Interventional Pain Medicine)
8525 ROLLING RD, SUITE 200
MANASSAS, VA 20110
General Practice
8525 ROLLING RD, SUITE 222
MANASSAS, VA 20110

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 Nathan Shapiro's NPI number?

The NPI number for Nathan Shapiro is 1992703045. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Nathan Shapiro located?

Nathan Shapiro practices at 8525 Rolling Rd Suite 222, Manassas, VA 20110. The listed phone number is (703) 334-0720.

What is Nathan Shapiro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathan Shapiro enrolled in Medicare?

Yes. Nathan Shapiro 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 Nathan Shapiro accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Nathan Shapiro 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 Nathan Shapiro affiliated with any hospitals?

According to CMS data, Nathan Shapiro is affiliated with Inova Alexandria Hospital and Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Nathan Shapiro was last updated on May 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.