Individual provider Active NPI

Mary M Hagerty, MD

  • Rheumatology Physician
  • Winchester, VA
National Provider Identifier
1942279195
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101048922 Issued in VA
Practice address
420 W Jubal Early Dr Ste 104
Winchester, VA 22601-6435
Phone
(540) 667-6232
Fax
(540) 667-6036
NPI assigned
Mar 17, 2006
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101048922 VA Primary

Addresses

Primary practice location

420 W Jubal Early Dr Ste 104
Winchester, VA 22601-6435

Mailing address

420 W Jubal Early Dr Ste 104
Winchester, VA 22601-6435
Phone (540) 667-6232

Other identifiers 1

IdentifierTypeStateIssuer
006085806MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040731000321 VA Practitioner - Rheumatology 3577533967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Rush Medical College of Rush University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 W Jubal Early Dr
Suite 104
Winchester, VA 22601-6435
Phone (540) 667-6232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as individual
Quality
86.94
Improvement activities
40
Cost
71.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101048922VAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Specialists of Winchester PC Rheumatology CurrentSince Jul 1, 1989 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1730 Amherst St
Winchester, VA 22601
Phone (540) 667-6232

420 W Jubal Early Dr
Ste 104
Winchester, VA 22601
Phone (540) 667-6232

Interoperability endpoints

  • Direct secure messaging: mhagerty@ad6b4956.micromddirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1942279195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W JUBAL EARLY DR STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016435",
            "telephone_number": "540-667-6232",
            "fax_number": "540-667-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W JUBAL EARLY DR STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016435",
            "telephone_number": "540-667-6232",
            "fax_number": "540-667-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101048922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006085806",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.