JAMES DENTON (M.D.) – Surgery Physician, NPI 1649251521
Surgery Physician
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NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
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Provider Addresses for JAMES DENTON (M.D.)
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
541, Sunset Lane, Mulberry Greens, Culpeper, Culpeper County, Virginia, 22701, United States
STE 103
CULPEPER, VA 227013979
Phone: (540) 829-4440
Fax: (540) 825-4026
Type: Location
541 Sunset Ln
Ste 103
Culpeper, VA 227013979
Phone: (540) 829-4440
Fax: (540) 825-4026
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 302-6565
Type: Mailing
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 242117664
Phone: (276) 258-1777
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.
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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: 2007-04-25
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 |
|---|---|---|---|---|
| I20070425000107 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 48 | 23 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 22906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | VA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 13 | 13 |
| GENERAL SURGERY | VA | 45378 | Diagnostic examination of large bowel using an endoscope | 19 | 19 |
| GENERAL SURGERY | VA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 13 | 13 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| A N E S T H E S I O L O G Y | FL | |
| - | NC | |
| P S Y C H I A T R Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | VA | |
| Hospitalist, Nephrology, Nephrology, Internal Medicine | MD |
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