Active NPI
William F Deegan III, M.D.
- Ophthalmology Physician
- McLean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101052712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 92.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0047789 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Retina & Ocular Oncology, PLLC | Retina Specialist | Current | 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
- 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.
-
- Retina Specialist (Ophthalmology) Physician
- McLean, VA
- NPI 1487236626
DC
-
- Ophthalmology Physician
- Washington, DC
- NPI 1437175684
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.