NPI registry status
Active
2026 NPPES data Procedural Dermatology Physician NPI 1053407452 DO
Verify on CMS → Theresa Conologue, DO
Procedural Dermatology Physician in Fredericksburg, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 679 in Procedural Dermatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
358
Medicare Part D claims · 170 beneficiaries · Procedural Dermatology Physician avg: 664
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$15.81
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Theresa Conologue, DO filed 358 Medicare Part D claims in 2023 as a Procedural Dermatology Physician in Fredericksburg, Virginia, prescribing 94% generic.
- 358
- Part D claims, 2023
- 94%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Theresa Conologue, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
358 Top 43% higher than 57% of 1,370,886 prescribers
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
✓
Board certification likely (heuristic, not verified)
Theresa Conologue, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Theresa Conologue, DO?
Quality data not reportedPrimary specialty
Procedural Dermatology Physician
Medicare Part D claims
358 46% vs specialty avg
Specialty distribution in Virginia
How Procedural Dermatology Physician compares to other specialties among Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Procedural Dermatology Physician. Verify directly:
How MIPS and board certification work
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).
Theresa Conologue, DO appears in the CMS NPPES registry as a Procedural Dermatology Physician provider holding DO credentials at 1101 SAM PERRY BLVD STE 121, Fredericksburg, VA, 22401, with a listed phone of (540) 899-1600. NPI 1053407452 was issued on 10/04/2006.
Medicare Part D records for calendar year 2023 show 358 prescription claims written by this provider, covering 170 Medicare beneficiaries and totaling roughly $18K in drug spend, split 6% brand-name and 94% generic by claim count.
Procedural Dermatology Physician is a narrow specialty nationwide, with 679 enrolled providers across 48 states and an average of 664 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
Provider Details
| NPI | 1053407452 |
|---|---|
| Specialty | Procedural Dermatology Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 10/04/2006 |
Hospital and facility affiliations
Facilities where Theresa Conologue, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Mary Washington Healthcare Physicians
Fredericksburg, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Theresa Conologue, DO. Source: openpaymentsdata.cms.gov.
Total received
$16
Largest payer
SUN PHARMACEUTICAL INDUSTRIES INC.
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.
Brand vs generic prescribing mix · Generic-heavy
Theresa Conologue, DO - brand share 6.0%
Procedural Dermatology Physician average
6% brand-name claims vs 94% generic, on 358 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
358
Total Claims
$18K
Total Drug Cost
170
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 421
- Total Day Supply
- 10,833
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $12K
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 75.0 years
- Avg HCC Risk Score
- 0.88
- Gender Split
- 54% female / 46% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Theresa Conologue, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Triamcinolone Acet…
Triamcinolone Acetonide
84 claims
- Ketoconazole
Ketoconazole
74 claims
- Fluorouracil
Fluorouracil
47 claims
- Clobetasol Propion… 33
Clobetasol Propionate
33 claims
- Valacyclovir 13
Valacyclovir
13 claims
- Doxycycline Hyclate 11
Doxycycline Hyclate
11 claims
- Mupirocin 11
Mupirocin
11 claims
| Drug | Claims |
|---|---|
| Triamcinolone Acetonide | 84 |
| Ketoconazole | 74 |
| Fluorouracil | 47 |
| Clobetasol Propionate | 33 |
| Valacyclovir Valacyclovir Hcl | 13 |
| Doxycycline Hyclate | 11 |
| Mupirocin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Procedural Dermatology Physician Overview
How Theresa Conologue, DO fits within the Procedural Dermatology Physician landscape nationally.
679
Procedural Dermatology Physician Providers in US
48
States with Procedural Dermatology Physician
664
Avg Claims per Provider
Theresa Conologue, DO's 358 claims are below the specialty average of 664.
Nearby Procedural Dermatology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Conologue.
Dr. Dima Ali
M.D.
Reston, VA
Eli Crisler
Waynesboro, VA
Dr. Edwin Epstein
MD
Virginia Beach, VA
Dr. Aaron Fuchs
M.D.
Falls Church, VA
Dr. Martin Horn
M.D.
Fairfax, VA
Compare Procedural Dermatology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Procedural Dermatology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Virginia
Frequently Asked Questions
What is Theresa Conologue, DO's specialty? ▼
Theresa Conologue, DO specializes in Procedural Dermatology Physician and practices in Fredericksburg, Virginia. Credentials: DO.
How much does Theresa Conologue, DO prescribe under Medicare Part D? ▼
In 2023, Theresa Conologue, DO wrote 358 Medicare Part D claims totaling $18K in drug costs for 170 beneficiaries.
Where is Theresa Conologue, DO located? ▼
Theresa Conologue, DO is located at 1101 SAM PERRY BLVD STE 121, Fredericksburg, VA, 22401. Phone: (540) 899-1600.
What is Theresa Conologue, DO's NPI number? ▼
Theresa Conologue, DO's National Provider Identifier (NPI) is 1053407452, issued on 10/04/2006.
Does Theresa Conologue, DO prescribe more brand-name or generic drugs? ▼
Theresa Conologue, DO's prescribing is 6% brand-name and 94% generic drugs by claim count, with $5K in brand drug costs.
How many Procedural Dermatology Physician providers are there in the US? ▼
There are 679 Procedural Dermatology Physician providers across 48 states in the US. The average Procedural Dermatology Physician provider writes 664 Medicare Part D claims per year.
What drugs does Theresa Conologue, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Theresa Conologue, DO's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Fluorouracil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theresa Conologue, DO accept Medicare? ▼
Theresa Conologue, DO appears in CMS Medicare data with 358 Part D claims and 170 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theresa Conologue, DO's credentials? ▼
Theresa Conologue, DO's NPI is 1053407452 with credentials DO. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.