Active NPI
William Patrick Petersen Jr., M.D., M.P.H.
- Orthopaedic Surgery Physician
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101266295
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wpetersen19272@direct.orthovirginia.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Avalon in Home Nursing and Rehabilitation LLC
- Velocity Home Healthcare LLC
- Virginia Hospital Center
- Inova Fair Oaks Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 96 |
| Knee replacement | 86 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Orthovirginia, Inc | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
Orthopaedic Surgery
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
dba West End Orthopaedic Clinic, Inc
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
Orthopaedic Surgery
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Falls Church, VA
- NPI 1811269970
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- Home Health Agency
- Herndon, VA
- NPI 1972062115
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.