Active NPI 1447216734 Individual Practitioner Male Practitioner

Dr. Edward Paul Smith , MD

Internal Medicine • Winchester, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edward Smith, MD is a certified Internal Medicine practicing in Winchester, VA. With approximately 36 years of clinical experience since graduating from Georgetown University School Of Medicine in 1990, Dr. Smith delivers high-quality medical care to the local community at 190 CAMPUS BLVD.

Dr. Smith is affiliated with Winchester Internal Medicine, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals, blood test, lipids (cholesterol and triglycerides). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

190 Campus Blvd
Suite 200

Winchester, VA 226012872

Telephone 5406626135

Fax 5406625845

Associated Practice Facility / Clinic

🏢 Winchester Medical Center Facility NPI 1922082718

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Winchester, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +12.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

76 Specialists

Practicing in Winchester, VA (3758 Statewide)

Telehealth Adoption Rate

23.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

10.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (36 Years) 36 Yrs

Winchester Specialty Average (23.8 Years) 23.8 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
36415 Insertion of needle into vein for collection of blood sample	1,563	521	$8.59	$8.38
80053 Blood test, comprehensive group of blood chemicals	1,353	517	$12.15	$10.31
80061 Blood test, lipids (cholesterol and triglycerides)	1,264	508	$14.82	$13.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,152	436	$125.59	$120.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	816	493	$8.91	$7.57
84443 Blood test, thyroid stimulating hormone (TSH)	725	476	$18.06	$16.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	687	395	$15.83	$15.62
81001 Manual urinalysis test with examination using microscope, automated	676	449	$3.52	$3.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	531	226	$176.02	$171.66
83036 Hemoglobin A1C level	487	266	$10.99	$9.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	396	396	$126.70	$123.63
G0444 Annual depression screening, 5 to 15 minutes	343	343	$18.49	$18.03
99213 Established patient office or other outpatient visit, typically 15 minutes	322	214	$89.00	$84.88
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	304	304	$25.94	$24.36
G0008 Administration of influenza virus vaccine	246	246	$35.00	$31.15
90662 Influenza vaccine split virus, preservative free	220	220	$80.00	$78.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	121	$55.22	$53.33
80048 Blood test, basic group of blood chemicals (calcium, total)	133	96	$9.46	$8.23
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	127	125	$290.00	$279.46
G0009 Administration of pneumococcal vaccine	126	124	$35.00	$30.91
85610 Blood test, clotting time	108	11	$4.59	$4.20
82043 Urine microalbumin (protein) level	107	83	$6.50	$5.66
82570 Creatinine level to test for kidney function or muscle injury	106	83	$5.63	$5.08
82306 Vitamin d-3 level	82	74	$29.91	$29.01
99497 Advance care planning, first 30 minutes	54	53	$79.81	$76.66
99496 Transitional care management services for problem of high complexity	48	43	$376.36	$259.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	36	$51.89	$51.06
G0103 Prostate cancer screening; prostate specific antigen test (psa)	35	35	$26.46	$17.89
93000 Routine ekg using at least 12 leads including interpretation and report	33	31	$15.50	$13.62
84439 Thyroxine (thyroid chemical), free	31	29	$11.21	$8.84
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	24	17	$101.29	$99.67
90471 Administration of 1 vaccine	22	22	$33.64	$18.17
99495 Transitional care management services for problem of at least moderate complexity	21	19	$217.38	$199.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$161.56	$147.31
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$35.00	$21.90
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	16	16	$18.05	$17.69
84153 Psa (prostate specific antigen) measurement, total	16	16	$18.39	$18.02
80076 Liver function blood test panel	15	15	$11.08	$7.52
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$14.32	$13.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,574	532	$8.42	$7.87
80053 Blood test, comprehensive group of blood chemicals	1,340	528	$40.00	$10.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,245	470	$135.33	$126.72
80061 Blood test, lipids (cholesterol and triglycerides)	1,245	506	$40.00	$13.07
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	864	508	$25.00	$7.59
84443 Blood test, thyroid stimulating hormone (TSH)	740	480	$43.00	$16.38
81001 Manual urinalysis test with examination using microscope, automated	541	408	$11.00	$3.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	502	225	$185.30	$177.96
83036 Hemoglobin A1C level	447	222	$32.00	$9.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	400	400	$135.00	$129.12
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	369	369	$30.00	$25.81
G0444 Annual depression screening, 5 to 15 minutes	336	336	$20.00	$18.50
99213 Established patient office or other outpatient visit, typically 15 minutes	318	222	$95.38	$89.94
G0008 Administration of influenza virus vaccine	232	230	$34.91	$30.01
90662 Influenza vaccine split virus, preservative free	191	191	$80.00	$71.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	166	148	$60.36	$56.17
80048 Blood test, basic group of blood chemicals (calcium, total)	148	96	$35.00	$8.29
82306 Vitamin d-3 level	101	93	$55.00	$29.01
85610 Blood test, clotting time	98	16	$15.00	$4.20
82570 Creatinine level to test for kidney function or muscle injury	73	67	$17.00	$5.08
82043 Urine microalbumin (protein) level	73	67	$25.00	$5.66
99497 Advance care planning, first 30 minutes	61	61	$85.00	$82.03
84439 Thyroxine (thyroid chemical), free	54	43	$43.00	$8.84
G0103 Prostate cancer screening; prostate specific antigen test (psa)	53	53	$61.00	$18.60
G0009 Administration of pneumococcal vaccine	46	44	$34.02	$30.00
99496 Transitional care management services for problem of high complexity	43	36	$285.00	$275.85
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	42	42	$288.57	$281.22
90756 Vaccine for influenza for injection into muscle	38	37	$35.00	$30.70
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	37	37	$25.00	$17.69
90471 Administration of 1 vaccine	32	31	$31.88	$19.58
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	29	29	$170.00	$163.51
93000 Routine ekg using at least 12 leads including interpretation and report	29	28	$40.00	$14.39
80076 Liver function blood test panel	27	22	$30.00	$8.01
87400 Detection test for Influenza virus, A or B	24	12	$35.00	$13.85
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$175.00	$165.00
99495 Transitional care management services for problem of at least moderate complexity	21	20	$214.29	$194.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	16	$75.00	$52.10
84153 Psa (prostate specific antigen) measurement, total	18	15	$61.00	$17.02
90480 Admn sarscov2 vacc 1 dose	18	18	$40.00	$39.20
91320 Sarscv2 vac 30mcg trs-suc im	18	18	$140.00	$128.48
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	16	16	$30.00	$28.19
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	14	14	$25.00	$15.60
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	14	13	$15.00	$4.18
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$40.00	$14.38
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	12	$15.00	$14.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,494	532	$4.03	$2.96
80053 Blood test, comprehensive group of blood chemicals	1,323	530	$40.00	$10.37
80061 Blood test, lipids (cholesterol and triglycerides)	1,230	507	$40.00	$13.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,156	457	$135.39	$128.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	843	509	$25.00	$7.65
84443 Blood test, thyroid stimulating hormone (TSH)	686	454	$43.00	$16.51
81001 Manual urinalysis test with examination using microscope, automated	521	386	$11.00	$3.12
83036 Hemoglobin A1C level	459	219	$32.00	$9.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	447	207	$186.12	$179.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	404	404	$135.00	$132.31
99213 Established patient office or other outpatient visit, typically 15 minutes	362	263	$95.41	$91.52
G0444 Annual depression screening, 5 to 15 minutes	332	332	$20.00	$18.65
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	261	261	$30.00	$26.47
G0008 Administration of influenza virus vaccine	207	204	$30.00	$29.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	181	149	$60.33	$56.94
85610 Blood test, clotting time	177	25	$15.01	$4.24
80048 Blood test, basic group of blood chemicals (calcium, total)	113	80	$35.00	$8.36
90662 Influenza vaccine split virus, preservative free	108	108	$80.00	$67.91
90756 Vaccine for influenza for injection into muscle	95	95	$35.00	$29.65
82306 Vitamin d-3 level	89	81	$55.00	$29.25
82570 Creatinine level to test for kidney function or muscle injury	88	79	$17.00	$5.07
82043 Urine microalbumin (protein) level	88	79	$24.95	$5.65
99497 Advance care planning, first 30 minutes	71	71	$85.00	$85.28
G0103 Prostate cancer screening; prostate specific antigen test (psa)	51	51	$61.00	$18.33
99496 Transitional care management services for problem of high complexity	51	47	$285.00	$281.04
G0009 Administration of pneumococcal vaccine	50	49	$30.00	$29.47
84439 Thyroxine (thyroid chemical), free	45	39	$43.00	$8.93
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$40.94	$14.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	28	$280.00	$274.55
99495 Transitional care management services for problem of at least moderate complexity	29	24	$213.10	$201.84
80076 Liver function blood test panel	23	21	$30.00	$8.07
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	22	22	$25.00	$17.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$125.00	$123.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$170.00	$169.41
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	19	19	$15.00	$4.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$175.00	$169.74
84153 Psa (prostate specific antigen) measurement, total	13	11	$61.00	$18.15
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$40.00	$14.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,525	548	$4.03	$2.99
80053 Blood test, comprehensive group of blood chemicals	1,337	545	$40.00	$10.53
80061 Blood test, lipids (cholesterol and triglycerides)	1,226	509	$40.00	$13.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,140	479	$134.75	$130.60
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	819	523	$25.00	$7.75
84443 Blood test, thyroid stimulating hormone (TSH)	686	466	$43.00	$16.78
81001 Manual urinalysis test with examination using microscope, automated	468	374	$11.00	$3.16
83036 Hemoglobin A1C level	458	206	$32.00	$9.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	455	455	$134.75	$134.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	406	190	$185.20	$181.85
99213 Established patient office or other outpatient visit, typically 15 minutes	323	236	$95.26	$91.88
G0008 Administration of influenza virus vaccine	246	243	$30.00	$16.87
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	243	243	$35.00	$29.69
G0444 Annual depression screening, 5 to 15 minutes	239	239	$20.00	$18.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	146	$59.91	$56.97
85610 Blood test, clotting time	149	24	$15.00	$4.29
80048 Blood test, basic group of blood chemicals (calcium, total)	134	100	$35.00	$8.41
82306 Vitamin d-3 level	97	84	$55.00	$29.60
82043 Urine microalbumin (protein) level	96	86	$24.96	$5.72
82570 Creatinine level to test for kidney function or muscle injury	96	86	$17.00	$5.13
99497 Advance care planning, first 30 minutes	79	78	$85.00	$86.09
84439 Thyroxine (thyroid chemical), free	75	62	$43.00	$9.02
93000 Routine ekg using at least 12 leads including interpretation and report	54	49	$41.67	$14.75
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	49	49	$25.00	$18.05
G0103 Prostate cancer screening; prostate specific antigen test (psa)	46	46	$61.00	$18.89
G0009 Administration of pneumococcal vaccine	39	39	$30.00	$16.60
99496 Transitional care management services for problem of high complexity	38	34	$283.82	$282.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$125.00	$125.00
99495 Transitional care management services for problem of at least moderate complexity	23	22	$209.13	$208.29
84153 Psa (prostate specific antigen) measurement, total	18	16	$61.00	$18.39
80076 Liver function blood test panel	16	14	$30.00	$8.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$175.00	$170.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$75.00	$53.58
90670 Pneumococcal vaccine for injection into muscle	14	14	$280.00	$224.14
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$170.00	$170.86
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	11	11	$15.00	$4.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,463	546	$4.05	$2.97
80053 Blood test, comprehensive group of blood chemicals	1,277	548	$40.00	$10.44
80061 Blood test, lipids (cholesterol and triglycerides)	1,171	502	$40.00	$13.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,116	476	$111.02	$109.82
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	779	508	$25.00	$7.69
84443 Blood test, thyroid stimulating hormone (TSH)	718	473	$43.00	$16.65
83036 Hemoglobin A1C level	454	216	$32.00	$9.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	435	435	$120.00	$117.72
81001 Manual urinalysis test with examination using microscope, automated	427	354	$11.00	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	401	272	$76.41	$75.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	358	176	$151.05	$146.96
G0008 Administration of influenza virus vaccine	287	285	$30.00	$16.65
85610 Blood test, clotting time	223	32	$15.00	$4.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	182	154	$47.07	$45.01
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	153	151	$25.03	$18.56
90756 Vaccine for influenza for injection into muscle	134	134	$35.00	$27.49
84439 Thyroxine (thyroid chemical), free	125	108	$43.00	$8.96
80048 Blood test, basic group of blood chemicals (calcium, total)	123	90	$35.00	$8.12
82306 Vitamin d-3 level	98	84	$55.00	$29.44
99497 Advance care planning, first 30 minutes	91	91	$85.00	$85.95
82570 Creatinine level to test for kidney function or muscle injury	80	74	$17.00	$5.15
82043 Urine microalbumin (protein) level	80	74	$24.98	$5.74
93000 Routine ekg using at least 12 leads including interpretation and report	63	60	$40.48	$17.32
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	53	53	$25.00	$18.00
G0103 Prostate cancer screening; prostate specific antigen test (psa)	47	47	$61.00	$18.38
G0009 Administration of pneumococcal vaccine	38	38	$30.00	$16.23
99496 Transitional care management services for problem of high complexity	38	32	$250.00	$248.05
99495 Transitional care management services for problem of at least moderate complexity	29	27	$174.14	$171.96
87400 Detection test for Influenza virus, A or B	28	14	$35.00	$13.85
90670 Pneumococcal vaccine for injection into muscle	25	25	$247.60	$224.20
80076 Liver function blood test panel	23	22	$30.00	$8.11
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$170.00	$170.05
84153 Psa (prostate specific antigen) measurement, total	19	17	$61.00	$18.29
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$40.00	$17.28
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$122.86	$109.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$75.00	$54.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,644	579	$4.04	$2.93
80053 Blood test, comprehensive group of blood chemicals	1,407	571	$40.00	$11.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,300	513	$110.74	$108.20
80061 Blood test, lipids (cholesterol and triglycerides)	1,257	536	$40.00	$14.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	847	540	$25.00	$8.44
84443 Blood test, thyroid stimulating hormone (TSH)	762	495	$43.00	$18.21
81001 Manual urinalysis test with examination using microscope, automated	489	386	$11.00	$3.41
83036 Hemoglobin A1C level	483	228	$32.00	$10.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	426	426	$120.00	$116.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	409	197	$151.10	$144.51
99213 Established patient office or other outpatient visit, typically 15 minutes	357	239	$76.01	$74.00
85610 Blood test, clotting time	304	50	$15.03	$4.28
G0008 Administration of influenza virus vaccine	262	258	$30.00	$16.36
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	252	252	$25.02	$17.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	226	180	$45.27	$44.54
80048 Blood test, basic group of blood chemicals (calcium, total)	171	104	$35.00	$9.21
84439 Thyroxine (thyroid chemical), free	156	112	$43.00	$9.82
99497 Advance care planning, first 30 minutes	118	116	$85.00	$84.28
82570 Creatinine level to test for kidney function or muscle injury	92	85	$17.00	$5.58
82043 Urine microalbumin (protein) level	92	85	$24.98	$6.29
93000 Routine ekg using at least 12 leads including interpretation and report	75	71	$40.80	$16.76
99496 Transitional care management services for problem of high complexity	62	52	$235.00	$231.03
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	55	55	$25.00	$17.69
G0103 Prostate cancer screening; prostate specific antigen test (psa)	54	54	$61.00	$19.33
82306 Vitamin d-3 level	46	44	$55.00	$32.23
G0009 Administration of pneumococcal vaccine	42	41	$30.00	$15.64
99495 Transitional care management services for problem of at least moderate complexity	38	35	$168.55	$163.72
80076 Liver function blood test panel	26	25	$30.00	$8.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$170.00	$166.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$110.00	$102.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$175.00	$171.25
90670 Pneumococcal vaccine for injection into muscle	19	19	$225.79	$197.81
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	18	18	$40.00	$17.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$75.00	$53.12
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	13	$15.71	$13.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$215.00	$206.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	2,034	609	$4.03	$2.93
80053 Blood test, comprehensive group of blood chemicals	1,414	582	$40.00	$12.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,334	529	$111.17	$103.08
80061 Blood test, lipids (cholesterol and triglycerides)	1,261	540	$40.00	$16.07
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	835	553	$25.00	$9.36
84443 Blood test, thyroid stimulating hormone (TSH)	784	506	$43.00	$20.19
81001 Manual urinalysis test with examination using microscope, automated	493	394	$11.00	$3.82
83036 Hemoglobin A1C level	458	218	$32.00	$11.66
85610 Blood test, clotting time	426	60	$16.00	$4.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	412	412	$120.00	$112.20
99213 Established patient office or other outpatient visit, typically 15 minutes	372	258	$75.60	$69.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	370	179	$150.62	$138.49
G0008 Administration of influenza virus vaccine	249	244	$29.89	$20.08
90756 Vaccine for influenza for injection into muscle	242	242	$25.08	$22.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	231	175	$45.39	$42.08
84439 Thyroxine (thyroid chemical), free	189	129	$43.00	$10.88
80048 Blood test, basic group of blood chemicals (calcium, total)	182	120	$35.00	$10.17
99497 Advance care planning, first 30 minutes	119	118	$85.00	$81.25
82043 Urine microalbumin (protein) level	81	78	$25.00	$6.91
82570 Creatinine level to test for kidney function or muscle injury	80	78	$17.00	$6.18
93000 Routine ekg using at least 12 leads including interpretation and report	77	71	$40.39	$16.19
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	64	64	$25.00	$19.25
99496 Transitional care management services for problem of high complexity	53	45	$238.11	$219.45
G0103 Prostate cancer screening; prostate specific antigen test (psa)	47	47	$61.00	$21.79
G0009 Administration of pneumococcal vaccine	45	44	$29.47	$20.24
87400 Detection test for Influenza virus, A or B	34	17	$35.00	$14.51
80076 Liver function blood test panel	28	24	$30.00	$9.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$110.00	$105.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$175.00	$165.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$170.00	$160.02
90471 Administration of 1 vaccine	19	16	$29.53	$12.50
99495 Transitional care management services for problem of at least moderate complexity	17	17	$172.94	$148.73
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	17	15	$15.00	$4.29
90670 Pneumococcal vaccine for injection into muscle	17	17	$209.41	$197.42
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$40.00	$16.33
84153 Psa (prostate specific antigen) measurement, total	13	12	$61.00	$22.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$75.00	$51.69
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	12	12	$30.00	$25.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	2,183	630	$4.06	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,481	575	$111.13	$104.99
80053 Blood test, comprehensive group of blood chemicals	1,452	588	$40.00	$12.73
80061 Blood test, lipids (cholesterol and triglycerides)	1,332	549	$40.00	$12.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	894	564	$25.00	$10.40
84443 Blood test, thyroid stimulating hormone (TSH)	749	490	$43.00	$22.59
85610 Blood test, clotting time	511	64	$16.00	$5.26
83036 Hemoglobin A1C level	449	205	$32.00	$13.02
99213 Established patient office or other outpatient visit, typically 15 minutes	431	279	$76.36	$70.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	412	412	$120.00	$114.00
81001 Manual urinalysis test with examination using microscope, automated	407	314	$11.00	$4.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	377	185	$146.19	$141.18
G0008 Administration of influenza virus vaccine	251	249	$26.00	$24.79
80048 Blood test, basic group of blood chemicals (calcium, total)	238	149	$35.02	$11.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	152	$45.88	$42.71
84439 Thyroxine (thyroid chemical), free	145	111	$43.00	$12.12
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	143	141	$24.93	$17.32
99497 Advance care planning, first 30 minutes	116	116	$85.00	$80.48
Q2039 Influenza virus vaccine, not otherwise specified	105	105	$25.00	$22.33
82570 Creatinine level to test for kidney function or muscle injury	90	86	$17.00	$6.96
82043 Urine microalbumin (protein) level	90	86	$25.00	$7.77
93000 Routine ekg using at least 12 leads including interpretation and report	66	63	$40.91	$16.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	56	56	$61.00	$24.29
G0009 Administration of pneumococcal vaccine	55	54	$26.00	$24.99
99496 Transitional care management services for problem of high complexity	46	42	$245.76	$223.30
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	42	42	$25.00	$20.87
99495 Transitional care management services for problem of at least moderate complexity	37	34	$165.00	$161.11
90670 Pneumococcal vaccine for injection into muscle	35	35	$200.00	$184.90
80076 Liver function blood test panel	31	29	$30.00	$9.84
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$175.00	$168.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$110.00	$95.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$170.00	$163.47
90471 Administration of 1 vaccine	17	17	$26.00	$25.16
84550 Uric acid level, blood	17	16	$18.00	$4.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	15	$75.00	$53.02
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$40.00	$16.80
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	16	$15.00	$4.77
84153 Psa (prostate specific antigen) measurement, total	15	13	$61.00	$24.73
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	11	11	$30.00	$25.33

Medical Specialties & State Licenses

CMS Verified: 2021-03-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101047458

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Va Medicare Group

C00085 (VA)

Commercial Insurance / Payer ID Wv Blue Shield

000613355 (WV)

Commercial Insurance / Payer ID Qualchoice Professional

08250500000

Commercial Insurance / Payer ID Sentara Professional

43939

Hospital & Practice Group Affiliations

Winchester Internal Medicine, Inc

190 Campus Blvd, Winchester, VA 226012872

Phone: 5406626135

Practice Associates & Co-Workers

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

11 Associated Practitioners

Thomas Kidd , PA-C

Physician Assistant

NPI 1053321075

Physician Assistant (Certified)

Dr. Sherry Schott , MD

Internal Medicine

NPI 1124083191

Doctor of Medicine (M.D.)

Dr. Anca Iliescu , MD

Internal Medicine - Cardiovascular Disease

NPI 1194781575

Doctor of Medicine (M.D.)

Dr. Douglas Keim , MD

Internal Medicine

NPI 1356303051

Doctor of Medicine (M.D.)

Dr. Ruma Dahal , MD

Family Medicine - Adult Medicine

NPI 1376858498

Doctor of Medicine (M.D.)

Dr. Prashanta Koirala , MD

Internal Medicine

NPI 1437368180

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2015

Registered at 190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 226012872 (Tel: 5406626135)

📍

Updated Business Mailing Address February 20, 2015

Registered at 190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 226012872 (Tel: 5406626135)

👤

Provider Name / Credentials Updated February 20, 2015

Recorded as EDWARD SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2015

Internal Medicine (License #0101047458 in VA)

🟢

Initial NPI Registration & Enumeration April 25, 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: 1447216734

Entity Type:

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

Enumeration Date: April 25, 2006

Last Update: March 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

190 Campus Blvd, Suite 200

Winchester, VA 226012872

Phone: 5406626135

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.