SUZANNE M GONGLOFF (PA) – Medical Physician Assistant, NPI 1477532935

SUZANNE M GONGLOFF (PA) is a healthcare provider. based in Winchester, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110001482 (VA). The NPI Number for SUZANNE M GONGLOFF (PA) is 1477532935

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE M GONGLOFF (PA)
NPI
1477532935
Phone
(540) 678-2800
Address
104 SELMA DR
Enumeration Date
12 January 2006
Last Update Date
24 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5406782800
Graduation Year
2002 (24 years ago)
PAC ID
8921133877
Group Practice PAC ID
5092618611
Professional Enrollment ID
I20100317000185
Address ID
VA226013834WI104XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for SUZANNE M GONGLOFF (PA)

  • 104, Selma Drive, Winchester, Frederick County, Virginia, 22601, United States

    WINCHESTER, VA 226013834

    Phone: (540) 678-2800

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100317000185IPhysician AssistantVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes370234$0
36415Insertion of needle into vein for collection of blood sample312162$0
80053Blood test, comprehensive group of blood chemicals251144$0
80061Blood test, lipids (cholesterol and triglycerides)220129$0
99213Established patient office or other outpatient visit, 20-29 minutes131112$0
View full utilization report →

Insurance plans in this area (ZIP 22601)

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Provider's Procedures

SUZANNE M GONGLOFF (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA85610Blood test, clotting time1513
PHYSICIAN ASSISTANTVA90670Pneumococcal vaccine for injection into muscle2929

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092618611View full group profile
NameSpecialtyState
Family PracticeVA
Internal Medicine, Infectious DiseaseVA
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA
Family PracticeVA
-VA
Infectious Disease, Internal MedicineVA
Family PracticeVA
Physician AssistantVA

Reviews

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Frequently asked questions

Does SUZANNE M GONGLOFF (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUZANNE M GONGLOFF (PA) uses 1477532935.
Can I rely on SUZANNE M GONGLOFF (PA) being an active provider?
As of the registry snapshot, SUZANNE M GONGLOFF (PA) is marked active.
What is SUZANNE M GONGLOFF (PA)'s primary classification?
Medical Physician Assistant is the headline specialty for SUZANNE M GONGLOFF (PA) here. Clinical services aligned with this taxonomy classification.
Does SUZANNE M GONGLOFF (PA) list a practice location?
Patients near Winchester, Virginia may find SUZANNE M GONGLOFF (PA) in results; validate coverage separately.
Is the information about SUZANNE M GONGLOFF (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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