NPPES file of Aug 9, 2026

Virginia Medicare prescriber rankings

33,533 Virginia prescribers billed $6.1 billion in Medicare Part D drugs in 2024, the 15th largest of 56 states and territories. Opioids were 3.29 of every 100 of those claims (CMS), below the national 3.52.

CMS Medicare Part D Prescribers, 2024; CMS NPPES · method · Verify with CMS →

  • Prescribers33,533
  • Part D drug cost$6.1 billion
  • Average per prescriber$181,823
  • Wrote an opioid (CMS)19,817 (59.11%)
  • Opioid claims per 100 claims (CMS)3.29

Reading the Virginia tables

Virginia's 33,533 prescribers wrote 37,429,745 Part D claims in 2024, about $181,823 in drug cost per prescriber. A high total usually reflects specialty practice, such as cancer, rheumatology or HIV care, or vaccines: 1 of the 50 largest totals are mostly vaccines, which pharmacies often bill under a standing order naming one clinician. These are billing tables, not quality ratings. PlainDoctor does not rank named prescribers by opioid share; the state's opioid figures above come from CMS's own totals.

The 50 highest Part D drug-cost totals

Prescriber (NPPES taxonomy)Drug costClaims
1Ikenna NzeoguEmergency Medicine Physicianmostly vaccines, often billed by pharmacies under a standing order naming this clinician$33.6 million164,328
2Kevin BrigleNurse Practitioner$16.2 million1,782
3Zachary HruskaFamily Nurse Practitioner$14.2 million1,933
4Jefferson PrichardHematology & Oncology Physician$10.1 million2,967
5Dana AlbonPulmonary Disease Physician$9.2 million1,786
6Rosa DiringFamily Nurse Practitioner$9.1 million3,173
7Jordan TranFamily Medicine Physician$8.3 million2,358
8Sarah PaciulliFamily Nurse Practitioner$7.7 million3,934
9Akintunde AkinleyeHematology & Oncology Physician$7.6 million2,816
10Janet PinsonCritical Care Medicine Nurse Practitioner$7.5 million2,640
11Vanessa GlasscoFamily Nurse Practitioner$7.4 million2,032
12Laahn FosterHematology & Oncology Physician$7.3 million821
13Hillary HartungPhysician Assistant$7.0 million2,141
14Moises CossioPulmonary Disease Physician$6.9 million1,990
15Keyur ShahAdvanced Heart Failure and Transplant Cardiology Physician$6.9 million2,313
16Tamara MusgraveHematology & Oncology Physician$6.8 million2,959
17Pratik DesaiUrology Physician$6.8 million1,841
18Elizabeth WinthropFamily Nurse Practitioner$6.8 million2,616
19Mark LandrioNeurology Physician$6.7 million1,109
20Amr BehiriInternal Medicine Physician$6.7 million83,990
21Rahul DaveNeurology Physician$6.7 million1,876
22Oksana ShlobinCritical Care Medicine (Internal Medicine) Physician$6.7 million1,182
23Andrew MihalekPulmonary Disease Physician$6.7 million1,843
24Kelly GwathmeyNeurology Physician$6.6 million1,668
25Iva FerreiraInternal Medicine Physician$6.6 million1,619
26Mohamed TalaatRheumatology Physician$6.6 million3,284
27Maura HaganHematology & Oncology Physician$6.5 million2,257
28Mark CurrieHematology & Oncology Physician$6.4 million1,531
29Brian BehmGastroenterology Physician$6.4 million1,212
30Timothy WelchAdvanced Heart Failure and Transplant Cardiology Physician$6.3 million1,614
31Shilpa JohriPulmonary Disease Physician$6.2 million3,854
32Dewey BaileyEndocrinology, Diabetes & Metabolism Physician$6.2 million15,507
33John FeigertHematology & Oncology Physician$6.1 million1,152
34Thomas AlbericoHematology & Oncology Physician$6.1 million1,266
35Marion ColeMedical Oncology Physician$6.0 million1,572
36Vikramjit KhangooraPulmonary Disease Physician$6.0 million1,263
37Kasiah BanksFamily Nurse Practitioner$6.0 million1,802
38Daniel GrinnanPulmonary Disease Physician$5.9 million3,221
39Snehal DamleHematology & Oncology Physician$5.9 million1,761
40Amir HajimomenianInternal Medicine Physician$5.9 million76,303
41Christopher KingCritical Care Medicine (Internal Medicine) Physician$5.9 million1,131
42Jerome GoldschmidtHematology & Oncology Physician$5.8 million2,059
43Shanique PalmerHematology & Oncology Physician$5.8 million2,475
44Robert GivenUrology Physician$5.8 million1,564
45David KobulnickyHematology & Oncology Physician$5.8 million2,175
46Ramsey FalconerNeurology Physician$5.8 million4,957
47Zackary TushakAdvanced Heart Failure and Transplant Cardiology Physician$5.7 million2,392
48Robert HigginsonPhysician Assistant$5.7 million3,515
49Suzan MertenHematology & Oncology Physician$5.6 million1,916
50John MillerHematology & Oncology Physician$5.6 million1,331

Source: CMS Medicare Part D Prescribers by Provider, 2024 (data.cms.gov), matched to CMS NPPES by NPI; vaccine share from the prescriber's top drugs in the CMS by-provider-and-drug file. Specialty is the taxonomy the clinician reported to NPPES.

Common questions

How many Medicare prescribers are in Virginia?

Virginia has 33,533 Medicare Part D prescribers who filed 37,429,745 claims totaling $6.1 billion in drug costs.

What is the opioid prescribing rate in Virginia?

Opioids were 3.29 of every 100 Medicare Part D claims written by Virginia prescribers in 2024, against 3.52 nationally (CMS). 19,817 of the state's 33,528 Part D prescribers in CMS's geography file (59.11%) wrote at least one opioid.

Checking a prescriber

Open the prescriber's record for the full NPI entry and prescribing detail, then confirm the license on the state board search. The Part D file covers Medicare Part D only; commercial, Medicaid, VA and cash prescriptions are not in it.

Prescriber rankings in other states

  1. Alabama
  2. Alaska
  3. American Samoa
  4. Arizona
  5. Arkansas
  6. California
  7. Colorado
  8. Connecticut
  9. Delaware
  10. District of Columbia
  11. Florida
  12. Georgia
  13. Guam
  14. Hawaii
  15. Idaho
  16. Illinois
  17. Indiana
  18. Iowa
  19. Kansas
  20. Kentucky
  21. Louisiana
  22. Maine
  23. Maryland
  24. Massachusetts
  25. Michigan
  26. Minnesota
  27. Mississippi
  28. Missouri
  29. Montana
  30. Nebraska
  31. Nevada
  32. New Hampshire
  33. New Jersey
  34. New Mexico
  35. New York
  36. North Carolina
  37. North Dakota
  38. Northern Mariana Islands
  39. Ohio
  40. Oklahoma
  41. Oregon
  42. Pennsylvania
  43. Puerto Rico
  44. Rhode Island
  45. South Carolina
  46. South Dakota
  47. Tennessee
  48. Texas
  49. Utah
  50. Vermont
  51. Virgin Islands
  52. Virginia
  53. Washington
  54. West Virginia
  55. Wisconsin
  56. Wyoming

National prescriber rankings · All rankings

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Medicare Part D data year 2024 (CMS).