Quick answers
- Does Miguel A. Pelton accept Medicare assignment?
- Yes. Medicare's clinician data says Miguel A. Pelton accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Miguel A. Pelton see?
- In 2024, CMS data shows 133 Original Medicare patients and 1,917 services for Miguel A. Pelton. This counts Original Medicare only and measures volume, not quality.
- What is Miguel A. Pelton's NPI number?
- 1235558958. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Miguel A. Pelton, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 133 |
|---|---|
| Services billed to Medicare | 1,917 |
| Different services or procedures | 52 |
| Participating Medicare provider | Yes |
| Average age of these patients | 74 |
Most frequent services
- Injection, methylprednisolone acetate, 1 mg (J1010)1,161 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)149 services
- X-ray of hip, 2-3 views (73502)39 services
- X-ray of elbow, 2 views (73070)35 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)35 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High cholesterol71%
- High blood pressure70%
- Arthritis66%
- Anxiety28%
- Diabetes26%
- Ischemic heart disease26%
Hospitals where Miguel A. Pelton works
Medicare's Facility Affiliation Data lists Miguel A. Pelton at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Fauquier HospitalWarrenton, VA · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 490023
- University of Virginia Medical CenterCharlottesville, VA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 490009
- UVA Health Haymarket Medical CenterHaymarket, VA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 490144
- UVA Health Prince William Medical CenterManassas, VA · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 490045
Practice locations
Addresses where Miguel A. Pelton is enrolled with Medicare (CMS data updated October 2, 2026).
- 14370 Lee Hwy 102Gainesville, VA 20155 (703) 743‑2814
- 52 W Shirley AveWarrenton, VA 20186 (540) 347‑9220
- 7508 Iron Bar Ln, Suite 7508Gainesville, VA 20155 (703) 490‑6726
Group practices
Medicare enrollment lists Miguel A. Pelton as a member of these groups (CMS data updated October 2, 2026).
- Select Physical Therapy Holdings Inc2,024 clinicians in the group
- Blue Ridge Orthopaedic Associates PC36 clinicians in the group
Specialties
- Orthopedic Surgeryprimary
Other orthopedic surgeons in Gainesville
Clinicians with the same Medicare primary specialty in Gainesville, VA — not a recommendation.
Other clinicians in Select Physical Therapy Holdings Inc
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | Georgetown University School Of Medicine |
| Graduation year | 2014 (12 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1235558958 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians