DR. NATASHA C SIMMONS WYLLIE (MD) – Family Medicine Physician, NPI 1427232081
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. NATASHA C SIMMONS WYLLIE (MD)
22895, Brambleton Plaza, Summerfield, Brambleton, Loudoun County, Virginia, 20148, United States
SUITE 200
BRAMBLETON, VA 20148
Phone: (703) 722-2312
Fax: (703) 722-2317
Type: Location
12011, Lee Jackson Memorial Highway, Penderbrook, Fairfax Farms, Fair Oaks, Fairfax (city), Virginia, 22033, United States
#504
FAIRFAX, VA 22033
Phone: (703) 391-2030
Fax: (703) 273-3943
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($101).
Total Amount
$101
General + Research + Ownership
Payments
1
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Progenics Pharmaceuticals, Inc. | $101 |
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: 2012-03-22
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 |
|---|---|---|---|---|
| I20120322000264 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 19 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | 12 | $0 |
| G0009 | Administration of pneumococcal vaccine | 12 | 12 | $0 |
Insurance plans in this area (ZIP 20148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| Family Practice | VA | |
| Physician Assistant | VA | |
| Family Practice | MD | |
| Family Practice | MD | |
| Nurse Practitioner | VA | |
| Physical Therapist In Private Practice | VA | |
| Family Practice | VA | |
| Family Practice | MD | |
| Family Practice | MD |
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