Active NPI 1447415625 Individual Practitioner Male Practitioner

Dr. Brian M Showalter , MD

Surgery - Plastic and Reconstructive Surgery • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Showalter, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Charlottesville, VA. With approximately 18 years of clinical experience since graduating from Virginia Commonwealth University, School Of Medicine in 2008, Dr. Showalter delivers high-quality medical care to the local community at 595 MARTHA JEFFERSON DR STE 280.

Dr. Showalter is affiliated with Martha Jefferson Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

595 Martha Jefferson Dr Ste 280

Charlottesville, VA 22911

Telephone 4346548920

Fax 4346548921

Associated Practice Facility / Clinic

🏢 Rmh Medical Group Llc Facility NPI 1376706952

Medicare Profile & Education

Medical School

Virginia Commonwealth University, School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Charlottesville, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -5.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Charlottesville, VA (83 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Showalter (18 Years) 18 Yrs

Charlottesville Specialty Average (23.0 Years) 23.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$216.68	$111.44
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$176.38	$91.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$323.40	$169.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$110.60	$56.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$220.16	$111.50
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$170.87	$89.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$103.32	$56.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$331.00	$158.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$218.00	$113.13
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$150.00	$91.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$91.00	$57.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$331.00	$161.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	38	$150.00	$91.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$331.00	$168.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$219.00	$130.40
99213 Established patient office or other outpatient visit, typically 15 minutes	19	11	$103.00	$67.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$416.00	$222.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$218.00	$112.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	27	$103.00	$52.25
99213 Established patient office or other outpatient visit, typically 15 minutes	44	35	$150.00	$75.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$331.00	$166.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$218.00	$108.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	14	$63.00	$26.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$154.00	$76.85
11042 Removal of skin and tissue, 20.0 sq cm or less	14	11	$126.00	$58.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$219.00	$110.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	42	$145.00	$50.66
99213 Established patient office or other outpatient visit, typically 15 minutes	75	53	$145.93	$72.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$215.00	$107.09
11042 Removal of skin and tissue, 20.0 sq cm or less	62	26	$233.00	$59.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	37	$87.00	$44.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	15	$213.00	$78.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	28	$87.00	$25.32
97597 Removal of tissue from wound, 20.0 sq cm or less	28	15	$150.00	$23.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$215.00	$75.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$327.00	$152.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$273.00	$135.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	35	$145.00	$50.93
99213 Established patient office or other outpatient visit, typically 15 minutes	76	55	$145.00	$68.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$215.00	$102.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$87.00	$43.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	16	$213.00	$78.01
11042 Removal of skin and tissue, 20.0 sq cm or less	29	16	$233.00	$62.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$215.00	$76.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$327.00	$157.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	126	90	$86.63	$39.32
99213 Established patient office or other outpatient visit, typically 15 minutes	124	58	$145.00	$54.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$216.19	$91.95
97597 Removal of tissue from wound, 20.0 sq cm or less	47	26	$150.00	$33.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	25	$213.00	$78.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$327.00	$149.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$273.00	$131.06

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License VA 0101255390

A surgeon who specializes in plastic and reconstructive surgery.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

State License VA 0101255390

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Hospital & Practice Group Affiliations

Martha Jefferson Medical Group Llc

595 Martha Jefferson Dr, Charlottesville, VA 229114669

Phone: 4346548920

Practice Associates & Co-Workers

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

5 Associated Practitioners

Nicole Lepsch , FNP

Nurse Practitioner - Family

NPI 1023275146

Family Nurse Practitioner

Dr. Victoria Vastine , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1174587141

Doctor of Medicine (M.D.)

Emma Hartman , PA-C

Physician Assistant

NPI 1366724791

Physician Assistant (Certified)

Dr. Elizabeth Chance , MD

Otolaryngology - Facial Plastic Surgery

NPI 1750593612

Doctor of Medicine (M.D.)

Kathleen Tigert

Technician, Other

NPI 1861952533

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location June 26, 2018

Registered at 595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 22911 (Tel: 4346548920)

✅

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2018

Registered at 595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 229114669 (Tel: 4346548920)

📍

Updated Business Mailing Address January 09, 2018

Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)

👤

Provider Name / Credentials Updated January 09, 2018

Recorded as BRIAN SHOWALTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Surgery (License #0101255390 in VA)

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 600 PETER JEFFERSON PKWY, SUITE 270, CHARLOTTESVILLE, VA 229118835 (Tel: 4346548920)

📍

Updated Business Mailing Address November 30, 2016

Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as BRIAN SHOWALTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Surgery (License #0101255390 in VA)

🟢

Initial NPI Registration & Enumeration July 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1447415625

Entity Type:

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

Enumeration Date: July 27, 2008

Last Update: January 04, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 79777

Baltimore, MD 212790777

Phone: 4346547794

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.