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Active NPI 1114660289 Individual Practitioner Male Practitioner

Tedric D Lolis , PA-C

Physician Assistant • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tedric Lolis, PA-C is a certified Physician Assistant practicing in Charlottesville, VA. With approximately 5 years of clinical experience since completing medical education in 2021, Tedric Lolis delivers high-quality medical care to the local community at 1215 LEE ST.

Tedric Lolis is affiliated with East Mountain Health Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1215 Lee St

Charlottesville, VA 229080816

Telephone 4349249400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Charlottesville, VA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
156 Specialists

Practicing in Charlottesville, VA (4432 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lolis (5 Years) 5 Yrs
Charlottesville Specialty Average (9.1 Years) 9.1 Yrs

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
J1010 Injection, methylprednisolone acetate, 1 mg
7,300 66 $0.50 $0.13
99213 Established patient office or other outpatient visit, typically 15 minutes
263 167 $250.00 $71.10
20610 Aspiration and/or injection of fluid from large joint
110 79 $216.00 $56.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
86 86 $309.00 $87.82
73562 X-ray of knee, 3 views
68 59 $113.69 $30.09
J1040 Injection, methylprednisolone acetate, 80 mg
35 30 $17.00 $9.71
73030 X-ray of shoulder, minimum of 2 views
28 22 $97.00 $26.09
73130 X-ray of hand, minimum of 3 views
24 22 $103.00 $27.78
73502 X-ray of hip, 2-3 views
19 19 $132.00 $35.43
73630 X-ray of foot, minimum of 3 views
17 11 $92.65 $24.48
20550 Injection into tendon or ligament
12 11 $160.00 $45.95
23472 Prosthetic repair of shoulder joint, total shoulder
11 11 $799.60 $176.66

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110008916

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Hospital & Practice Group Affiliations

East Mountain Health Physicians Inc

1008 Tavern Rd, Martinsburg, WV 254012801

East Mountain Health Physicians Inc

100 Oak Lee Dr, Ranson, WV 254384879

Phone: 3049300001

Secondary Practice Locations

1008 Tavern Rd Ste 102

Martinsburg, WV 254012801

Phone: 3042635129

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ellen Faulk , MD

Radiology - Diagnostic Radiology

NPI 1003378654

Doctor of Medicine (M.D.)

Dr. Connor Sleeth , MD

Radiology - Diagnostic Radiology

NPI 1003443516

Doctor of Medicine (M.D.)

Dr. Olivia Little , MD

Student in an Organized Health Care Education/Training Program

NPI 1003603531

Doctor of Medicine (M.D.)

Megan Kingdon , NP

Nurse Practitioner

NPI 1013212554

Nurse Practitioner

Dr. Kaelin Cockrell , MD

Student in an Organized Health Care Education/Training Program

NPI 1013657386

Doctor of Medicine (M.D.)

Arthur Pesch

Radiology - Diagnostic Radiology

NPI 1023452893

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 27, 2026

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080816 (Tel: 4349249400)

📍
Updated Business Mailing Address July 27, 2026

Registered at PO BOX 749112, ATLANTA, GA 303749112 (Tel: 4342951000)

📍
Updated Practice Location January 05, 2023

Registered at 1008 TAVERN RD STE 102, MARTINSBURG, WV 254012801 (Tel: 3042635129)

📍
Updated Business Mailing Address January 05, 2023

Registered at 220 CAMPUS BLVD STE 210, WINCHESTER, VA 226012889 (Tel: 5405365100)

NPI Profile Active April 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2022

Registered at 1710 SE 16TH AVE, OCALA, FL 344714656 (Tel: 3526201900)

📍
Updated Business Mailing Address April 18, 2022

Registered at 1710 SE 16TH AVE, OCALA, FL 344714656 (Tel: 3526201900)

👤
Provider Name / Credentials Updated April 18, 2022

Recorded as TEDRIC LOLIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 18, 2022

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: 1114660289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2022
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

Po Box 749112

Atlanta, GA 303749112

Phone: 4342951000

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.