NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1639353329 M.D.
Verify on CMS → Timothy Plerhoples, M.D.
Colon & Rectal Surgery Physician in Fairfax, 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 1,642 in Colon & Rectal Surgery 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
87
Medicare Part D claims · 45 beneficiaries · Colon & Rectal Surgery Physician avg: 210
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$184.95
4 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Timothy Plerhoples, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 87 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 87
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Timothy Plerhoples, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1639353329), first enumerated 12/18/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 87 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$184.95 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1639353329 · Colon & Rectal Surgery Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-NEUTRAL · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1639353329
- ENUM-MID 2007
- TAX-NARROW 1,642
- MIPS-NEUTRAL 75/100
- RX-TRACE 87
- BOOK-THIN 38 in Virginia
- PHOTO-ENUM Pasithorn Suwanabol · 2007
Timothy Plerhoples, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
87 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Timothy Plerhoples, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Timothy Plerhoples, M.D.?
CMS neutral score, not measuredPrimary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
87 59% vs specialty avg
MIPS final score
75/100
Specialty distribution in Virginia
How Colon & Rectal Surgery Physician compares to other specialties among Virginia providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1639353329 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/18/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Timothy Plerhoples, M.D. 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.
Fairfax Colon And Rectal Surgery PC
Fairfax, VA
Inova Health Care Services
Leesburg, 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 Timothy Plerhoples, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$185
Largest payer
Myriad Genetic Laboratories, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
87
Total Claims
$5K
Total Drug Cost
45
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 87
- Total Day Supply
- 502
- Generic Drug Cost
- $4K
- Opioid Claims
- 23 (26.4% rate)
- Antibiotic Claims
- 48
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.49
- Gender Split
- 40% female / 60% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Timothy Plerhoples, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Metronidazole
Metronidazole
24 claims
- Neomycin Sulfate
Neomycin Sulfate
23 claims
- Tramadol Hcl
Tramadol Hcl
15 claims
| Drug | Claims |
|---|---|
| Metronidazole | 24 |
| Neomycin Sulfate | 23 |
| Tramadol Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How Timothy Plerhoples, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.
1,642
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
210
Avg Claims per Provider
Timothy Plerhoples, M.D.'s 87 claims are below the specialty average of 210.
Nationwide Colon & Rectal Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Plerhoples, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Colon & Rectal Surgery Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Plerhoples.
One of 38 Colon & Rectal Surgery Physician providers enrolled in Virginia, 5 are shown here.
Dr. Kiyanda Baldwin
M.D.
Stafford, VA
Dr. Jaime Bohl
MD
Richmond, VA
Dr. Marine Bolliet
MD
Richmond, VA
Dr. Brian Buchberg
M.D.
Chesapeake, VA
Dr. Ayana Chase Greaves
MD
Fredericksburg, VA
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Timothy Plerhoples, M.D.'s specialty? ▼
Timothy Plerhoples, M.D. specializes in Colon & Rectal Surgery Physician and practices in Fairfax, Virginia. Credentials: M.D..
How much does Timothy Plerhoples, M.D. prescribe under Medicare Part D? ▼
In 2024, Timothy Plerhoples, M.D. wrote 87 Medicare Part D claims totaling $5K in drug costs for 45 beneficiaries.
What is Timothy Plerhoples, M.D.'s Medicare quality score? ▼
Timothy Plerhoples, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Timothy Plerhoples, M.D. located? ▼
Timothy Plerhoples, M.D. is located at 2710 PROSPERITY AVE STE 200, Fairfax, VA, 22031. Phone: (703) 280-2841.
What is Timothy Plerhoples, M.D.'s NPI number? ▼
Timothy Plerhoples, M.D.'s National Provider Identifier (NPI) is 1639353329, issued on 12/18/2007.
Does Timothy Plerhoples, M.D. prescribe opioids? ▼
Yes, Timothy Plerhoples, M.D. had 23 opioid claims in 2024 with an opioid prescribing rate of 26.4%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,642 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 210 Medicare Part D claims per year.
What drugs does Timothy Plerhoples, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Timothy Plerhoples, M.D.'s most frequently prescribed drugs include Metronidazole, Neomycin Sulfate, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Timothy Plerhoples, M.D. accept Medicare? ▼
Timothy Plerhoples, M.D. appears in CMS Medicare data with 87 Part D claims and 45 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Timothy Plerhoples, M.D.'s credentials? ▼
Timothy Plerhoples, M.D.'s NPI is 1639353329 with credentials M.D.. 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.