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Ethan M Dymond , PA

Physician Assistant β€’ Charlottesville, VA

Active NPI 1275270324 Individual Practitioner Male Practitioner
Practice location in NPPES

1215 Lee St
Charlottesville, VA 229084319

Call 4349245428 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1215 Lee St

Charlottesville, VA 229084319

Telephone 4349245428
Fax 4342430649
Organization at the Same NPPES Address or Phone
Rector & Visitors Of The University Of Virginia Facility NPI 1588633317

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Philadelphia, PA; Waynesboro, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ethan Dymond has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ethan Dymond as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Charlottesville and Virginia

156 active clinicians are listed under Physician Assistant with a practice address in Charlottesville, VA (4,411 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Charlottesville

14.1% of these 156 clinicians have the CMS telehealth indicator.

66.7% of these 156 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES VA 0110008580

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 - Medical

NUCC Taxonomy Code: 363AM0700X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231004004153

Enrollment State Jurisdiction

VA

PECOS Control ID

8729433164

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3401 Civic Center Blvd

Philadelphia, PA 191044319

Phone: 2155903083

136 Crosskeys Way

Waynesboro, VA 229808900

Phone: 5712423988

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Courtney Atongnong , PA

Physician Assistant

NPI 1588398507

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 06, 2023

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229084319 (Tel: 4349245428)

πŸ“
Updated Business Mailing Address November 06, 2023

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007 (Tel: 4342951000)

πŸ“
Updated Business Mailing Address February 27, 2023

Registered at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 191044319 (Tel: 2155903083)

βœ…
NPI Profile Active May 18, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 18, 2022

Registered at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 191044319 (Tel: 8008792467)

πŸ“
Business Mailing Address (Initial Record) May 18, 2022

Registered at 136 CROSSKEYS WAY, WAYNESBORO, VA 229808900 (Tel: 5712423988)

πŸ‘€
Provider Name / Credentials (Initial Record) May 18, 2022

Recorded as ETHAN DYMOND, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2022

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 18, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275270324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2022
Last Update: November 06, 2023
Sole Proprietor: No

Other Physician Assistants in Charlottesville

All Physician Assistants in Charlottesville

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

Phone: 4342951000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.