BETHANY BYRD (DO) – Emergency Medicine Physician, NPI 1639465222

BETHANY BYRD (DO) is a healthcare provider. based in Fairfax, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 0102203777 (VA). The NPI Number for BETHANY BYRD (DO) is 1639465222

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY BYRD (DO)
NPI
1639465222
Phone
(267) 535-0816
Address
4191 JEREMY GRV
Enumeration Date
22 June 2011
Last Update Date
3 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2816188504
Graduation Year
2010 (16 years ago)
PAC ID
6103043245
Group Practice PAC ID
0941563993
Professional Enrollment ID
I20241230000791
Address ID
TX770914339HO510XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for BETHANY BYRD (DO)

  • 4191 JEREMY GRV

    FAIRFAX, VA 220308557

    Phone: (267) 535-0816

    Type: Mailing

  • 8700 SUDLEY RD

    MANASSAS, VA 201104418

    Phone: (718) 780-5040

    Type: Location

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: 2024-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (950 days ago).

Enrollment records

3

Earliest due date

2023-10-31

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
I20140813000928IEmergency MedicineDCTBD
I20141028002000IEmergency MedicineVA2023-10-31
I20241230000791IEmergency MedicineTXTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99285Emergency department visit with high level of medical decision making6464$0
99284Emergency department visit with moderate level of medical decision making3838$0
View full utilization report →

Insurance plans in this area (ZIP 22030)

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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: 0941563993View full group profile
NameSpecialtyState
Emergency MedicineTX
-TX
Surgical Oncology, General SurgeryTX
Family PracticeTX
Internal MedicineFL
Pediatric Medicine, Pulmonary DiseaseTX
H O S P I T A L I S TTX
Thoracic SurgeryTX
Emergency MedicineTX
Emergency Medicine, Pediatric Medicine, PsychiatryTX

Reviews

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Frequently asked questions

What is the standard ID for BETHANY BYRD (DO) in the U.S.?
In the U.S., BETHANY BYRD (DO) is identified by NPI 1639465222.
Should I treat BETHANY BYRD (DO) as an active provider?
Patients and plans typically see BETHANY BYRD (DO) as active in the national extract.
What services align with BETHANY BYRD (DO)'s listing?
BETHANY BYRD (DO)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BETHANY BYRD (DO) in Fairfax, Virginia?
For routing, start with Fairfax, Virginia for BETHANY BYRD (DO), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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