DAVID M PFEFFER (M.D.) – Urology Physician, NPI 1124108600
Urology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
319 UROLOGY in VA
Provider Addresses for DAVID M PFEFFER (M.D.)
1100, Sunset Lane, Mulberry Greens, Culpeper, Culpeper County, Virginia, 22701, United States
SUITE 1211A
CULPEPER, VA 227013378
Phone: (540) 825-2900
Fax: (540) 825-0644
Type: Mailing
410 HOSPITAL DR
WARRENTON, VA 201863026
Phone: (540) 347-1314
Fax: (540) 347-0900
Type: Location
PO BOX 748613
ATLANTA, GA 303748613
Phone: (434) 295-1000
Fax: (540) 825-0644
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Avanos Medical ($144).
Total Amount
$242
General + Research + Ownership
Payments
5
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avanos Medical | $144 |
| Janssen Biotech, Inc. | $33 |
| Sumitomo Pharma America, Inc. | $28 |
| Blue Earth Diagnostics Limited | $21 |
| Tolmar, Inc. | $16 |
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: 2006-04-19
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 |
|---|---|---|---|---|
| I20060419000604 | 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 | 725 | 504 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 394 | 306 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 99 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 132 | 20 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 117 | 100 | $0 |
Insurance plans in this area (ZIP 22701)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| A N E S T H E S I O L O G Y | FL | |
| - | NC | |
| P S Y C H I A T R Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | VA | |
| Hospitalist, Nephrology, Nephrology, Internal Medicine | MD |
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