CHARLES BUCKLEY GILLOCK (MD) – Urology Physician, NPI 1053309229
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
319 UROLOGY in VA
Provider Addresses for CHARLES BUCKLEY GILLOCK (MD)
70 Medical Center Cir
Suite 208
Fishersville, VA 229392273
Phone: (540) 332-5926
Fax: (540) 332-5930
Type: Location
Roanoke Post Office, 1733, Grandin Road Southwest, Grandin Village, West End, Roanoke, Virginia, 24015, United States
ROANOKE, VA 240140310
Phone: (540) 777-2897
Fax: (540) 777-1147
Type: Mailing
70, Medical Center Circle, Fishersville, Augusta County, Virginia, 22939, United States
SUITE 208
FISHERSVILLE, VA 229392273
Phone: (540) 332-5926
Fax: (540) 332-5930
Type: Location
24 GLOUCESTER RD
STUARTS DRAFT, VA 244773321
Phone: (540) 337-3710
Fax: (540) 337-0930
Type: Location
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2023-04-28 • Largest payer in this snapshot: Antares Pharma, Inc. ($50).
Total Amount
$64
General + Research + Ownership
Payments
2
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Antares Pharma, Inc. | $50 |
| C. R. Bard, Inc. & Subsidiaries | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091124000714 | I | Urology | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 563 | 391 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 395 | 286 | $0 |
| 81003 | Automated urinalysis test | 305 | 226 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 265 | 191 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 144 | 125 | $0 |
Insurance plans in this area (ZIP 22939)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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