DR. DANIEL JOHN PAMBIANCO (MD) – Specialist, NPI 1760489488
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
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Provider Addresses for DR. DANIEL JOHN PAMBIANCO (MD)
East High Street, Martha Jefferson, Locust Grove, Charlottesville, Virginia, 22909, United States
CHARLOTTESVILLE, VA 229024856
Phone: (434) 817-8484
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)
CMS reports 15 Open Payments records for all available years, with a total value of $4,492.
Total Amount is formed as General ($4,492) + Research ($0) + Ownership ($0) = $4,492.
Last reported payment date: 2024-12-22 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($4,039).
Total Amount
$4,492
General + Research + Ownership
Payments
15
Total payment records
General Amount
$4,492
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $4,039 |
| Phathom Pharmaceuticals, Inc. | $233 |
| ABBVIE INC. | $59 |
| PFIZER INC. | $52 |
| GENZYME CORPORATION | $29 |
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: 2022-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100708000820 | I | Gastroenterology | VA | TBD |
| I20221013002060 | I | Gastroenterology | DC | 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 | 200 | 171 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 135 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 132 | 120 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 106 | 21 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 90 | 90 | $0 |
Insurance plans in this area (ZIP 22902)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | VA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 122 | 120 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | VA | |
| Internal Medicine, Gastroenterology | PA | |
| Interventional Radiology | MA | |
| - | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | VA | |
| Interventional Radiology | DC | |
| Nurse Practitioner | VA | |
| G A S T R O E N T E R O L O G Y | VA |
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