Colvin Clay Wellborn, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G84666 Issued in CA

Practice address

1715 N George Mason Dr
#504
Arlington, VA 22205-3609

Phone

(703) 525-2200

Fax

(703) 522-2603

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Orthopedic Surgery

Education

Columbia University College of Physicians and Surgeons, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nirschl Orthopaedic Center for Sportsmedicine and Joint ReconstructionGroup PAC ID 8729065420, 21 clinicians

Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avalon in Home Nursing and Rehabilitation LLC Home health agency, Falls Church, VA, CCN 497752
• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Goodwin House Bailey'S Crossroads Nursing home, Falls Church, VA, CCN 495171
• Goodwin House Alexandria Nursing home, Alexandria, VA, CCN 495057

Merit-based Incentive Payment System (MIPS)

Final score

22.54 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

75.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction

  • Specialist
  • Arlington, VA
  • NPI 1053459149

  DC, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Mission Orthopedics Surgery and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lompoc, CA
  • NPI 1770699282
  NPD (past) Authorized official
• Suburban/NRH Medical Rehabilitation Inc

  • Rehabilitation Clinic/Center
  • Bethesda, MD
  • NPI 1457354748
  Care Compare group

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

• Avalon in Home Nursing and Rehabilitation LLC

  • Home Health Agency
  • Falls Church, VA
  • NPI 1811269970
  Care Compare affiliation
• Goodwin House Incorporated

  • Skilled Nursing Facility
  • Alexandria, VA
  • NPI 1629069851

  Nursing home

  Care Compare affiliation
• Goodwin House Incorporated

  • Skilled Nursing Facility
  • Falls Church, VA
  • NPI 1639258676

  Nursing home

  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1760478259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "#504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-525-2200",
            "fax_number": "703-522-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "#504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-525-2200",
            "fax_number": "703-522-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLBORN",
        "first_name": "COLVIN",
        "middle_name": "CLAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G846660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annika Marie Weisjahn, SPT
• Leslie Joy Weisman, LCSW
• Silvestro Menzano Weisner, PHD, ABPP, CST
• David W Weiss, OD
• Lucas Steven Welgoss, RN
• Wellpass, Inc.
• Jennifer Lynn Wells, LCSW, LICSW
• Sarah Sophia Wells
• Welltower Opco Group LLC
• Welltower Opco Group LLC

• Orthopaedic Surgery Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.

Verify at the official NPI Registry.