THERESA B. SHUPE (M.D.) – Family Medicine Physician, NPI 1902806474

THERESA B. SHUPE (M.D.) is a healthcare provider. based in Gainesville, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0101058776 (VA). The NPI Number for THERESA B. SHUPE (M.D.) is 1902806474

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
THERESA B. SHUPE (M.D.)
NPI
1902806474
Phone
(703) 754-0425
Address
14535 JOHN MARSHALL HIGHWAY
Enumeration Date
27 July 2005
Last Update Date
21 November 2011

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7037540425
Graduation Year
1990 (36 years ago)
PAC ID
6709889231
Group Practice PAC ID
4385682061
Professional Enrollment ID
I20060822000537
Address ID
VA201554024GA14535105X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

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Provider Addresses for THERESA B. SHUPE (M.D.)

  • Greenhill Family Dental Practice, 14535, John Marshall Highway, Gainesville, Prince William County, Virginia, 20155, United States

    SUITE #105

    GAINESVILLE, VA 20155

    Phone: (703) 754-0425

    Fax: (703) 754-2888

    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 11 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: PFIZER INC. ($92).

Total Amount

$226

General + Research + Ownership

Payments

11

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2014-04-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060822000537IFamily PracticeVATBD
I20140428001295IFamily PracticeDCTBD

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 minutes215173$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
G0444Annual depression screening, 5 to 15 minutes8989$0
99215Established patient office or other outpatient visit, 40-54 minutes5348$0
G0008Administration of influenza virus vaccine4747$0
View full utilization report →

Insurance plans in this area (ZIP 20155)

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Provider's Procedures

THERESA B. SHUPE (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVA81002Urinalysis, manual test6750

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: 4385682061View full group profile

Reviews

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Frequently asked questions

Is THERESA B. SHUPE (M.D.) listed with a National Provider Identifier?
Yes — THERESA B. SHUPE (M.D.) has NPI 1902806474 on file in the registry.
Would THERESA B. SHUPE (M.D.) appear as active to a payer?
You can treat THERESA B. SHUPE (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe THERESA B. SHUPE (M.D.)'s focus?
For THERESA B. SHUPE (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with THERESA B. SHUPE (M.D.)?
Directory geography for THERESA B. SHUPE (M.D.) centers on Gainesville, Virginia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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