VIRGINIA SPINE SPECIALISTS, PLLC – Neurological Surgery Physician, NPI 1508130246
Neurological Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VIRGINIA SPINE SPECIALISTS, PLLC
8650 SUDLEY RD
SUITE 315
MANASSAS, VA 201104419
Phone: (855) 774-6334
Fax: (270) 751-0406
Type: Mailing
9625 SURVEYOR COURT
SUITE 320
MANASSAS, VA 201104408
Phone: (571) 921-4877
Fax: (571) 208-0585
Type: Mailing
4604 Spotsylvania Pkwy Ste 300
Fredericksburg, VA 224087766
Phone: (571) 921-4877
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: 2022-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (133 days ago).
Enrollment records
3
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20120412000502 | O | Clinic/Group Practice | VA | TBD |
| O20140611000328 | O | Clinic/Group Practice | DC | TBD |
| O20220920000543 | O | Physician - Neurosurgery | VA | 2026-01-31 |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20110)
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