Active NPI 1548291610 Individual Practitioner Male Practitioner

Dr. Marcelo Kuperschmit , MD

Surgery • Arlington, VA

Professional Overview & Biography Verified Profile Summary

Dr. Marcelo Kuperschmit, MD is a registered healthcare professional specializing in Surgery in Arlington, VA. Practice services are available at 1715 N GEORGE MASON DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1715 N George Mason Dr
403

Arlington, VA 222053609

Telephone 7037174300

Fax 7037174301

Associated Practice Facility / Clinic

🏢 Arlington Ob-Gyn, Pc Facility NPI 1760489231

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Arlington, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.7 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

12 Specialists

Practicing in Arlington, VA (909 Statewide)

Telehealth Adoption Rate

41.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	54	$191.00	$100.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	121	$191.00	$102.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$443.10	$188.77
49650 Repair of groin hernia using an endoscope	12	12	$2023.88	$645.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	160	$188.00	$105.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$422.00	$189.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	183	$186.74	$107.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$414.34	$192.64
49650 Repair of groin hernia using an endoscope	12	12	$2179.27	$759.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	173	$178.00	$87.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$404.00	$190.48
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1864.24	$861.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	221	$178.00	$84.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$404.00	$182.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$267.00	$124.02
49650 Repair of groin hernia using an endoscope	17	17	$2046.24	$709.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$263.00	$123.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1849.70	$836.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	247	$178.00	$80.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$267.00	$117.77
49650 Repair of groin hernia using an endoscope	24	24	$1817.67	$624.65
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1777.00	$774.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	186	$170.17	$80.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	105	$109.00	$48.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$258.33	$118.75
49650 Repair of groin hernia using an endoscope	24	24	$1871.25	$459.78
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$184.00	$82.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1858.44	$797.82

Medical Specialties & State Licenses

CMS Verified: 2022-01-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101033221

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License VA 0101033221

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7399171 (VA)

Commercial Insurance / Payer ID 874231

1710036611

Secondary Practice Locations

3300 Gallows Rd

Falls Church, VA 220423307

Phone: 7037764001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Mami Martin , MD

Specialist

NPI 1245261338

Doctor of Medicine (M.D.)

Dr. John Sandiford , MD

Specialist

NPI 1447281522

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address January 12, 2022

Registered at PO BOX 37174, BALTIMORE, MD 212973174 (Tel: 5714235699)

✅

NPI Profile Active July 19, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2007

Registered at 1715 N GEORGE MASON DR, 403, ARLINGTON, VA 222053609 (Tel: 7037174300)

📍

Updated Business Mailing Address July 19, 2007

Registered at 6035 BURKE CENTRE PKWY, 390, BURKE, VA 220153750 (Tel: 7039781196)

👤

Provider Name / Credentials Updated July 19, 2007

Recorded as MARCELO KUPERSCHMIT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2007

Specialist (License #0101033221 in VA)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548291610

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: January 12, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 37174

Baltimore, MD 212973174

Phone: 5714235699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.