Brian M Showalter, MD - Medicare Plastic And Reconstructive Surgery in Charlottesville, VA

Brian M Showalter, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Charlottesville, Virginia. He went to Virginia Commonwealth University, School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Martha Jefferson Medical Group Llc and his current practice location is 595 Martha Jefferson Dr Ste 280, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 654-8920.

Brian M Showalter is licensed to practice in Virginia (license number 0101255390) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447415625.

Contact Information

Brian M Showalter, MD
595 Martha Jefferson Dr Ste 280,
Charlottesville, VA 22911
(434) 654-8920
(434) 654-8921

Map and Direction




Physician's Profile

Full NameBrian M Showalter
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience16 Years
Location595 Martha Jefferson Dr Ste 280, Charlottesville, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian M Showalter attended and graduated from Virginia Commonwealth University, School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1447415625
  • Provider Enumeration Date: 07/27/2008
  • Last Update Date: 01/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355567041
  • Enrollment ID: I20140804000080

Medical Identifiers

Medical identifiers for Brian M Showalter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447415625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 0101255390 (Virginia)Primary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine 0101255390 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Martha Jefferson HospitalCharlottesville, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Martha Jefferson Medical Group Llc5991889081166

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian M Showalter allows following entities to bill medicare on his behalf.
Entity NameMartha Jefferson Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275720559
PECOS PAC ID: 5991889081
Enrollment ID: O20080228000055

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian M Showalter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian M Showalter, MD
Po Box 79777,
Baltimore, MD 21279-0777

Ph: (434) 654-7794
Brian M Showalter, MD
595 Martha Jefferson Dr Ste 280,
Charlottesville, VA 22911

Ph: (434) 654-8920

Reviews and Comments


Surgery Doctors in Charlottesville, VA

Maneesh Koneru,
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Melinda L Bowles-childress, ACNP
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Michael D. Trahan, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 500 Martha Jefferson Drive, 5th Floor, Charlottesville, VA 22911
Phone: 434-654-5260    Fax: 434-654-5262

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.