Dr. Brian M Showalter , MD
Surgery - Plastic and Reconstructive Surgery • Charlottesville, VA
595 Martha Jefferson Dr Ste 280
Charlottesville, VA 22911
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Brian Showalter is listed in NPPES under Surgery - Plastic and Reconstructive Surgery.
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NPI assigned on July 27, 2008; this date does not establish years in practice.
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Published CMS data list 129 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99203 — New patient outpatient office visit: 62 service units.
- 99213 — Established patient outpatient office visit: 32 service units.
- 99204 — New patient outpatient office visit: 20 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 13 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: 97. Middle half: 52 to 237.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 240 in 2020 to 129 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
595 Martha Jefferson Dr Ste 280
Charlottesville, VA 22911
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Martha Jefferson Medical Group Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Virginia Commonwealth University, School Of Medicine
2008
What Public CMS Data Show
Surgery - Plastic and Reconstructive Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
136 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $14,079 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $10,318 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
13 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$59 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $357.49 across 4 records.
By nature of payment
- Food and Beverage: $357.49 across 4 records.
Reporting-company totals
- PolyNovo North America LLC: $165.68 across 1 record.
- Mentor Worldwide LLC: $162.02 across 2 records.
- Musculoskeletal Transplant Foundation Inc.: $29.79 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Dr. Showalter 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.
Can order Medicare-covered services
CMS lists Dr. Showalter 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Charlottesville and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: 97. Middle half: 52 to 237.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Charlottesville have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: $18,867. Middle half: $5,595 to $39,480.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Charlottesville have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 37 clinicians with data). Median for this group: $14,501. Middle half: $4,362 to $29,447.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Charlottesville have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 36 clinicians with data). Median for this group: 36. Middle half: 15 to 74.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Charlottesville have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Virginia (2024, 36 clinicians with data). Median for this group: $206. Middle half: $68 to $408.
Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Charlottesville have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Surgery - Plastic and Reconstructive Surgery with a practice address in Charlottesville, VA (81 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 46% from 240 in 2020 to 129 in 2024.
- 2020: 240
- 2021: 158
- 2022: 126
- 2023: 141
- 2024: 129
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Medicare-allowed amount
Medicare-allowed amount decreased 28% from $19,658 in 2020 to $14,079 in 2024.
- 2020: $19,658
- 2021: $20,637
- 2022: $13,294
- 2023: $14,256
- 2024: $14,079
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Paid by Medicare
Paid by Medicare decreased 28% from $14,300 in 2020 to $10,318 in 2024.
- 2020: $14,300
- 2021: $15,316
- 2022: $9,377
- 2023: $9,261
- 2024: $10,318
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 77% from 57 in 2020 to 13 in 2024.
- 2020: 57
- 2021: 58
- 2022: 42
- 2023: 14
- 2024: 13
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30-day fills
30-day fills decreased 84% from 80 in 2020 to 13 in 2024.
- 2020: 80
- 2021: 58
- 2022: 53
- 2023: 24
- 2024: 13
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Part D drug cost
Part D drug cost went from $391 in 2020 to $59 in 2024.
- 2020: $391
- 2021: $247
- 2022: $194
- 2023: $141
- 2024: $59
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $274.74 in 2020 to $357.49 in 2024.
- 2020: $274.74
- 2021: $611.60
- 2022: $566.71
- 2023: $293.14
- 2024: $357.49
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $357.49.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| PolyNovo North America LLC |
Food and Beverage
In-kind items and services
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NOVOSORB BTM | General | $165.68 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
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MENTOR MemoryGel Resterilizable Gel Sizer | General | $150.00 |
| Musculoskeletal Transplant Foundation Inc. |
Food and Beverage
In-kind items and services
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— | General | $29.79 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
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MENTOR MemoryGel Resterilizable Gel Sizer | General | $12.02 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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62 | 62 | $216.68 | $111.44 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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32 | 27 | $176.38 | $91.75 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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20 | 20 | $323.40 | $169.05 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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15 | 15 | $110.60 | $56.86 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 13 | 46 | $58.60 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 2086S0122X
A surgeon who specializes in plastic and reconstructive surgery.
NUCC Taxonomy Code: 2083P0011X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
I20140804000080
VA
1355567041
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Martha Jefferson Medical Group Llc
595 Martha Jefferson Dr, Charlottesville, VA 229114669
Phone: 4346548920
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Otolaryngology - Facial Plastic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner
Surgery - Plastic and Reconstructive Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 22911 (Tel: 4346548920)
NPI status registered as active in NPPES database
Registered at 595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 229114669 (Tel: 4346548920)
Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)
Recorded as BRIAN SHOWALTER, MD
Surgery (license number reported to NPPES: VA 0101255390)
NPI status registered as active in NPPES database
Registered at 600 PETER JEFFERSON PKWY, SUITE 270, CHARLOTTESVILLE, VA 229118835 (Tel: 4346548920)
Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)
Recorded as BRIAN SHOWALTER, MD
Surgery (license number reported to NPPES: VA 0101255390)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery - Plastic and Reconstructive Surgery Specialists in Charlottesville
Healthcare providers in CharlottesvilleMailing Address
Po Box 79777
Baltimore, MD 212790777
Phone: 4346547794