Individual provider Active NPI

Korey Yngstrom

  • Orthopaedic Surgery Physician
  • Reston, VA
National Provider Identifier
1316333537
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0102208649 Issued in VA
Practice address
1850 Town Center Pkwy Ste 400
Reston, VA 20190-3300
Phone
(703) 810-5202
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0102208649 VA Primary
Orthopaedic Surgery Physician 207X00000X OS17639 FL

Addresses

Primary practice location

1850 Town Center Pkwy Ste 400
Reston, VA 20190-3300

Mailing address

7544 Jacque Rd.
Hudson, FL 34667

Other practice location 1

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-2547

Other practice location 2

7544 Jacque Rd.
Hudson, FL 34667-7162
Phone (727) 697-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, VA3 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
I20210611002253 FL Practitioner - Orthopedic Surgery 5890039028 Reassigns benefits to 1 organization
I20240722000687 DC Practitioner - Orthopedic Surgery 5890039028 Reassigns benefits to 1 organization
I20240813001602 VA Practitioner - Orthopedic Surgery 5890039028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rowan University School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

2501 N Glebe Rd
Suite 101
Arlington, VA 22207-3558
Phone (571) 599-2406

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

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
63.31
Promoting interoperability
96
Improvement activities
40
Cost
69.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Bone and Joint Disease, PA Orthopaedic Surgery CurrentSince May 11, 2021 Accepting new patients
Orthovirginia Inc. Orthopaedic Surgery Current Accepting new patients
Orthovirginia Inc Orthopaedic Surgery Current Accepting new patients
Orthovirginia, Inc CurrentSince Sep 1, 2024 Accepting new patients
Orthovirginia, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
Orthovirginia, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
The Center for Bone and Joint Disease, PA Orthopaedic Surgery CurrentSince May 11, 2021 Accepting new patients

Locations

7544 Jacque Rd
Hudson, FL 34667
Phone (727) 697-2200

5319 Grand Blvd
New Pt Richey, FL 34652
Phone (727) 220-2422

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

2501 N Glebe Rd
Ste 101
Arlington, VA 22207
Phone (571) 599-2406

8270 Willow Oaks Corporate Dr
Ste 700
Fairfax, VA 22031
Phone (703) 810-5218

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

1850 Town Center Pkwy
Ste 303
Reston, VA 20190
Phone (703) 709-1114

1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000

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

Interoperability endpoints

  • Direct secure messaging: kyngstrom37107@direct.orthovirginia.com

Organizations & group practices 7

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

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1316333537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD.",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903300",
            "telephone_number": "703-810-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034914",
            "country_code": "US",
            "telephone_number": "516-719-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7544 Jacque Rd.",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677162",
            "country_code": "US",
            "telephone_number": "727-697-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YNGSTROM",
        "first_name": "KOREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102208649",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS17639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.