KERRI KUSTRA (MD) – Family Medicine Physician, NPI 1528008612

KERRI KUSTRA (MD) is a healthcare provider. based in Annandale, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101242631 (VA). The NPI Number for KERRI KUSTRA (MD) is 1528008612

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KERRI KUSTRA (MD)
NPI
1528008612
Phone
(703) 658-7060
Address
7611 LITTLE RIVER TPKE
Enumeration Date
7 June 2006
Last Update Date
9 November 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5059981717
Graduation Year
1997 (29 years ago)
PAC ID
6507843943
Group Practice PAC ID
9234041708
Professional Enrollment ID
I20111116000662
Address ID
NM871144105AL4588XNWXX400
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

3,174 FAMILY PRACTICE in VA

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Provider Addresses for KERRI KUSTRA (MD)

  • 7611, Little River Turnpike, Accotink Heights, Annandale, Fairfax, Virginia, 22003, United States

    SUITE 108 W

    ANNANDALE, VA 220032611

    Phone: (703) 658-7060

    Fax: (703) 658-3150

    Type: Mailing

  • 2942, Hunter Mill Road, Hunter Mill Plaza, Oakton, Fairfax County, Virginia, 22124, United States

    SUITE 102

    OAKTON, VA 221241762

    Phone: (703) 658-7060

    Fax: (703) 658-3150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($60).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-11-16

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
I20111116000662IFamily PracticeNMTBD

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 minutes168113$0
99215Established patient office or other outpatient visit, 40-54 minutes6048$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3333$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 22003)

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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: 9234041708View full group profile

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.

Frequently asked questions

Does KERRI KUSTRA (MD) have a public NPI I can cite?
Public records show KERRI KUSTRA (MD) under NPI 1528008612.
Quick check: is KERRI KUSTRA (MD) active?
Public NPPES data shows KERRI KUSTRA (MD) with an active NPI status right now.
What type of care does KERRI KUSTRA (MD) provide?
KERRI KUSTRA (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KERRI KUSTRA (MD)?
KERRI KUSTRA (MD) shows a connection to Annandale, Virginia in registry-derived data.
Who maintains KERRI KUSTRA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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