DR. JOHN B MAGGIONCALDA (MD) – Urology Physician, NPI 1346239472
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
319 UROLOGY in VA
Provider Addresses for DR. JOHN B MAGGIONCALDA (MD)
7552 Hospital Dr
Suite 302
Gloucester, VA 230614178
Phone: (804) 693-9062
Fax: (804) 693-9875
Type: Location
Hospital Drive, Gloucester Courthouse, Gloucester County, Virginia, 23061, United States
SUITE 302
GLOUCESTER, VA 230614178
Phone: (804) 693-9062
Fax: (804) 693-9875
Type: Location
856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States
SUITE A
NEWPORT NEWS, VA 236011318
Phone: (757) 594-4006
Fax: (757) 534-5190
Type: Mailing
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 217426727
Phone: (301) 733-0022
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 125 Open Payments records for all available years, with a total value of $3,095.
Total Amount is formed as General ($3,095) + Research ($0) + Ownership ($0) = $3,095.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($427).
Total Amount
$3,095
General + Research + Ownership
Payments
125
Total payment records
General Amount
$3,095
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $427 |
| PROCEPT BioRobotics Corporation | $390 |
| PFIZER INC. | $317 |
| Myriad Genetic Laboratories, Inc. | $202 |
| Astellas Pharma US Inc | $143 |
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: 2020-03-09
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 |
|---|---|---|---|---|
| I20200309001737 | I | Urology | MD | 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 | 607 | 445 | $0 |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 247 | 17 | $0 |
| 81003 | Automated urinalysis test | 129 | 121 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 120 | 15 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 117 | 112 | $0 |
Insurance plans in this area (ZIP 23061)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | VA | 55700 | Biopsy of prostate gland | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| Nurse Practitioner | MD | |
| Family Practice | MD | |
| - | PA | |
| Family Practice | MD | |
| Physician Assistant | VA | |
| Endocrinology, Internal Medicine | NY | |
| Nurse Practitioner | MD | |
| Registered Dietitian Or Nutrition Professional | MD | |
| Family Practice | MD |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.