Dr. Theresa Shupe, MD
14535 John Marshall Highway, Suite #105, Gainesville, VA 20155 • +1-846-555-2516
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Gainesville Percentiles
NPI #1902806474 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Theresa Shupe (MD, NPI 1902806474) at 14535 John Marshall Highway, Suite #105 in Gainesville with 885 annual clinical services (222 beneficiaries), corresponding to a -0.16σ regional deviation and focused low-volume boutique caseload (33.33th Gainesville percentile) with sub-specialty concentration in 43 Active CMS HCPCS Codes.
Procedural volume for Dr. Shupe is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 334 annual services, $133–$182 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 247/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 96/yr).
Cash-pay intake data for NPI 1902806474 (14535 John Marshall Highway, Suite #105, Gainesville) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 18-minute average reception wait and 4.92/5 biomarker openness.
Clinical background for Dr. Shupe (MD, NPI #1902806474) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across VA.
Compared against Gainesville, VA Family Practice peers
885 annual services across 222 beneficiaries
Standard deviations from VA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 334 | 33.33th | $133 – $182 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 247 | 30.33th | $102 – $139 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 96 | 35.33th | $153 – $209 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 72 | 37.33th | $29 – $44 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 48 | 36.33th | $183 – $250 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 89 | 33.33th | $120 – $174 |
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Dr. Theresa Shupe, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shupe National Provider Identifier | NPI #1902806474 (MD) | CMS NPPES Registry (20155) |
| Dr. Shupe Gainesville CMS Volume Rank | 33.33th Pct (885 CMS svcs; Z -0.159σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Gainesville, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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