2026 NPPES data General Practice Dentistry NPI 1518976133
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THEOFANIY BATISTAS

General Practice Dentistry in GAINESVILLE, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
25
Medicare Part D claims · 16 beneficiaries · General Practice Dentistry avg: 82
Industry payments
$165.99
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THEOFANIY BATISTAS filed 25 Medicare Part D claims in 2023 as a General Practice Dentistry in GAINESVILLE, Virginia.

25
Part D claims, 2023
$165.99
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

THEOFANIY BATISTAS's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

25 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about THEOFANIY BATISTAS?

Quality data not reported

NPI registry status

Active

Issued 08/05/2006

NPI 1518976133

Primary specialty

General Practice Dentistry

High-volume

121,627 US NPIs in this specialty

Medicare Part D claims

25 70% vs specialty avg

2023 prescription claims

Specialty avg: 82

Specialty distribution in Virginia

How General Practice Dentistry compares to other specialties among Virginia providers

Virginia providers

General Practice Dentistry share within Virginia

1. General Practice Dentistry42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Dentistry share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Dentistry (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Dentistry ABMS/AOA estimate

Est. board-certified rate (General Practice Dentistry) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Dentistry) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

THEOFANIY BATISTAS is a General Practice Dentistry provider practicing in GAINESVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1518976133. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THEOFANIY BATISTAS appears in the CMS NPPES registry as a General Practice Dentistry provider at 7521 VIRGINIA OAKS DR STE 230, GAINESVILLE, VA, 20155, with a listed phone of (703) 754-7151. NPI 1518976133 was issued on 08/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BATISTAS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 25 prescription claims written by this provider, covering 16 Medicare beneficiaries and totaling roughly $186 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

General Practice Dentistry is a high-volume specialty nationwide, with 121,627 enrolled providers across 56 states and an average of 82 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

7521 VIRGINIA OAKS DR STE 230
GAINESVILLE, VA 20155

Provider Details

NPI 1518976133
Specialty General Practice Dentistry
Gender Male
NPI Issued 08/05/2006

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for THEOFANIY BATISTAS. Source: openpaymentsdata.cms.gov.

Total received

$166

Largest payer

Envista Holdings Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

25
Total Claims
$186
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
25
Total Day Supply
191
Brand Drug Cost
$0
Generic Drug Cost
$186
Antibiotic Claims
13

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
0.98
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: 0

General Practice Dentistry Overview

How THEOFANIY BATISTAS fits within the General Practice Dentistry landscape nationally.

121,627
General Practice Dentistry Providers in US
56
States with General Practice Dentistry
82
Avg Claims per Provider

THEOFANIY BATISTAS's 25 claims are below the specialty average of 82.

Nearby General Practice Dentistry Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as BATISTAS.

Compare General Practice Dentistry nationally: see state-by-state distribution →

Frequently Asked Questions

What is THEOFANIY BATISTAS's specialty?
THEOFANIY BATISTAS specializes in General Practice Dentistry and practices in GAINESVILLE, Virginia.
How much does THEOFANIY BATISTAS prescribe under Medicare Part D?
In 2023, THEOFANIY BATISTAS wrote 25 Medicare Part D claims totaling $186 in drug costs for 16 beneficiaries.
Where is THEOFANIY BATISTAS located?
THEOFANIY BATISTAS is located at 7521 VIRGINIA OAKS DR STE 230, GAINESVILLE, VA, 20155. Phone: (703) 754-7151.
What is THEOFANIY BATISTAS's NPI number?
THEOFANIY BATISTAS's National Provider Identifier (NPI) is 1518976133, issued on 08/05/2006.
How many General Practice Dentistry providers are there in the US?
There are 121,627 General Practice Dentistry providers across 56 states in the US. The average General Practice Dentistry provider writes 82 Medicare Part D claims per year.
Does THEOFANIY BATISTAS accept Medicare?
THEOFANIY BATISTAS appears in CMS Medicare data with 25 Part D claims and 16 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THEOFANIY BATISTAS's credentials?
THEOFANIY BATISTAS's NPI is 1518976133. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology