Unknown Individual – Psychiatry Physician, NPI 1053306472
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
175 S PANTOPS DR STE 205
CHARLOTTESVILLE, VA 229118673
Phone: (434) 296-9740
Fax: (434) 284-8923
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2023-10-23 • Largest payer in this snapshot: ABBVIE INC. ($104).
Total Amount
$126
General + Research + Ownership
Payments
4
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $104 |
| Corium, LLC | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 259 | 54 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 167 | 48 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 92 | 24 | $0 |
Insurance plans in this area (ZIP 22911)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | VA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 68 | 38 |
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