Insurance & Payment
Patient insurance requiring a PCP selection must contact their insurance to change the practice selection to a specific provider selection using the TIN and Group NPI
Tax ID # 54-0967672
Group NPI # 1083793525
Participate and Open to New Patients:
- Aetna (HMO and PPO)
- Aetna Innovation
- Aetna Signature Partners
- Anthem (HMO and PPO)
- Blue Cross Blue Shield (HMO and PPO)
- Care First (HMO and PPO)
- Champ VA (Courtesy File)
- Cigna (HMO and PPO)
- Cigna Connect
- First Health/PHCS
- Humana
- Johns Hopkins (US Family Health and EPH)
- MediNcrease
- Multiplan
- Oscar Health
- Prime Health Services
- Sentara Health Plan
- Student Resources (UHC)
- Tricare Select/Standard
- United Healthcare (HMO and PPO) Surest
- Virginia Health Network
- Web TPA
Participate BUT NOT Open to New Patients:
- Anthem HealthKeepers Plus (Medicaid MCO)
- Cardinal Care of Virginia
- Sentara Community Plan (Medicaid MCO)
- United Healthcare Community Plan (Medicaid MCO)
NOT Participating:
- Kaiser (HMO)
- Aetna Better Health of VA (Medicaid MCO)
- Humana Healthy Horizons (Medicaid MCO)
- Optima Sentara PPO
- Sentara Community Plan Kaiser
- Liberty, Trinity, Solidarity Health Share Plans
Updated 1/20/2026
Well Check Appointment
Copayment or No Copayment?
Even if a physical or preventative test is fully paid by insurance, you may STILL have a copayment/coinsurance/deductible for the visit.
See explanation below:
Your child’s Well Check (Physical), which includes a routine physical examination, routine labs, routine vision or hearing and routine immunizations normally does NOT require a copayment.
HOWEVER, if you discuss concerns or symptoms of acute or chronic conditions or a problem-oriented condition is discovered during the well check, it is considered “diagnostic” and you will most likely be required to pay a copayment/coinsurance/deductible if applicable.
Example:
An appointment is scheduled for a Well Check (Physical).
During the physical, you express concern(s) and are treated for an un-related problem: symptoms of acute illness (cold, cough, ear pain, rash etc), concerns about an uncontrolled chronic condition (ADHD, skin problems, weight issues, etc) or requesting changes to medications.
In compliance with insurance company billing policies this prompts charges for both categories which require a copay or coinsurance/deductible, should you have one.