Individual provider Active NPI

William F Deegan III, M.D.

  • Ophthalmology Physician
  • McLean, VA
National Provider Identifier
1982678223
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101052712 Issued in VA
Practice address
1420 Beverly Rd Ste 110
MC Lean, VA 22101-3700
Phone
(571) 378-2236
Fax
(571) 378-2237
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0047789 MD
Ophthalmology Physician 207W00000X MD21418 DC
Retina Specialist (Ophthalmology) Physician 207WX0107X D0047789 MD
Retina Specialist (Ophthalmology) Physician 207WX0107X MD21418 DC
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101052712 VA
Ophthalmology Physician 207W00000X 0101052712 VA Primary

Addresses

Primary practice location

1420 Beverly Rd Ste 110
MC Lean, VA 22101-3700

Mailing address

46161 Westlake Dr Ste 300
Sterling, VA 20165-5871
Phone (571) 434-2927

Other practice location 1

46161 Westlake Dr Ste 300
Sterling, VA 20165-5871
Phone (571) 434-2927

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071010000807 DC Practitioner - Ophthalmology 0042303620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1420 Beverly Rd
Suite 110
MC Lean, VA 22101-3700
Phone (703) 643-9328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.36 of 100Reported as individual
Quality
92.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047789MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Retina & Ocular Oncology, PLLC Retina Specialist CurrentSince May 1, 2021 Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients

Locations

1420 Beverly Rd
Ste 110
McLean, VA 22101
Phone (571) 378-2236

Interoperability endpoints

  • Direct secure messaging: wdeegan@spectrumretina.direct.eyemdemr.com

Organizations & group practices 2

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 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1982678223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "571-434-2927",
            "fax_number": "571-434-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BEVERLY RD STE 110",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013700",
            "telephone_number": "571-378-2236",
            "fax_number": "571-378-2237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46161 Westlake Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201655871",
            "country_code": "US",
            "telephone_number": "571-434-2927",
            "fax_number": "571-434-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEGAN",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0047789",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD21418",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0047789",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD21418",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101052712",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101052712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.