Individual provider Active NPI

Matthew Bernard Gavin, MD

  • Orthopaedic Surgery Physician
  • Leesburg, VA
National Provider Identifier
1063408391
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101043432 Issued in VA
Practice address
19450 Deerfield Ave Ste 200
Leesburg, VA 20176-6821
Phone
(571) 209-1875
Fax
(703) 777-3365
NPI assigned
Sep 22, 2005
Last updated
Feb 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101043432 VA Primary

Addresses

Primary practice location

19450 Deerfield Ave Ste 200
Leesburg, VA 20176-6821

Mailing address

224 D Cornwall Street NW
Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 4

IdentifierTypeStateIssuer
06403620MedicaidVA
30015898270001MedicaidVA
P00279876OtherRR MEDICARE
1063408391MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050415000798 VA Practitioner - Orthopedic Surgery 5193762516 Reassigns benefits to 1 organization
I20160505001036 DC Practitioner - Orthopedic Surgery 5193762516 Reassigns benefits to 1 organization
I20160916000525 MD Practitioner - Orthopedic Surgery 5193762516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

1901 Lockhouse Dr
Point of Rocks, MD 21777-2104
Phone (301) 874-2211

224 D Cornwall St NW
Suite 204
Leesburg, VA 20176-2700
Phone (703) 777-1553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC CurrentSince Apr 1, 2005 Accepting new patients
Loudoun Medical Group, PC Orthopaedic Surgery CurrentSince Apr 1, 2005 Accepting new patients
Loudoun Medical Group, PC CurrentSince Mar 26, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Loudoun Medical Group, PC PastSince Oct 2, 2022 Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

1901 Lockhouse Dr
Point of Rocks, MD 21777
Phone (301) 874-2211

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19 Fort Evans Rd NE
Ste C
Leesburg, VA 20176
Phone (703) 737-2110

19450 Deerfield Ave
Ste 200
Leesburg, VA 20176
Phone (703) 723-7337

224D Cornwall St NW
Ste 200
Leesburg, VA 20176
Phone (703) 443-2223

224D Cornwall St NW
Ste 204
Leesburg, VA 20176
Phone (571) 209-1875

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

Interoperability endpoints

  • Direct secure messaging: matthew.gavin@lmg1.eclinicaldirectplus.com

Organizations & group practices 6

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 5

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1063408391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 D CORNWALL STREET NW",
            "address_2": "STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766821",
            "telephone_number": "571-209-1875",
            "fax_number": "703-777-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "MATTHEW",
        "middle_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101043432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06403620",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015898270001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00279876",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063408391",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.