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As an aspiring healthcare professional, I found your work using the National Plan and Provider
Enumeration System and All-Payer Claims Database to identify the active primary care Virginia
workforce to be significant. Your approach of identifying active primary care physicians was
comprehensive. Using the 10-wellness visit threshold in addition to clinicians who had a
National Uniform Claim Committee taxonomy of family medicine to estimate the active Virginia
primary care workforce is an innovative approach. I believe using wellness visits to be an
effective and representative way to identify physicians providing primary care. Do you think
the 10-wellness visit threshold should be adjusted to reflect and/or correlate with population
density? Additionally, Virginia has a fair amount of both urban and rural communities. Would
this model be accurate if the rural to urban ratio was increased or decreased? Thank you for
clearly describing your methodology to further define and refine the active primary care
workforce in Virginia.