Individual provider Active NPI

William Patrick Petersen Jr., M.D., M.P.H.

  • Orthopaedic Surgery Physician
  • Arlington, VA
National Provider Identifier
1003250887
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101266295 Issued in VA
Practice address
1635 N George Mason Dr Ste 310
Arlington, VA 22205-3616
Phone
(703) 810-5215
Fax
(703) 810-5428
NPI assigned
Apr 23, 2013
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 0101266295 VA Primary

Addresses

Primary practice location

1635 N George Mason Dr Ste 310
Arlington, VA 22205-3616

Mailing address

PO Box 75868
Baltimore, MD 21275-5868
Phone (866) 706-7846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wpetersen19272@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190826000868 DC Practitioner - Orthopedic Surgery 1759689300 Reassigns benefits to 1 organization
I20200831000264 VA Practitioner - Orthopedic Surgery 1759689300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Virginia Commonwealth University, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

1635 N George Mason Dr
Suite 310
Arlington, VA 22205-3616
Phone (703) 810-5215

24600 Millstream Dr
Suite 380
Aldie, VA 20105-3509
Phone (703) 810-5241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement96
Knee replacement86
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2020 Accepting new patients
Orthovirginia, Inc CurrentSince Sep 1, 2019 Accepting new patients
Orthovirginia Inc Orthopaedic Surgery Current Accepting new patients
Orthovirginia Inc. Orthopaedic Surgery Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

1635 N George Mason Dr
Ste 310
Arlington, VA 22205
Phone (703) 525-6100

1760 Old Meadow Rd
Ste 500
McLean, VA 22102
Phone (703) 437-8195

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

24600 Millstream Dr
Ste 380
Stone Ridge, VA 20105
Phone (703) 810-5241

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

Interoperability endpoints

  • Direct secure messaging: wpetersen19272@direct.orthovirginia.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1003250887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75868",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755868",
            "telephone_number": "866-706-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 310",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053616",
            "telephone_number": "703-810-5215",
            "fax_number": "703-810-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101266295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wpetersen19272@direct.orthovirginia.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1635 N George Mason Dr Ste 310",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.