JESSICA WERTZ DO NPI 1104080050
Family Medicine - Sports Medicine in Fairfax, VA

About JESSICA WERTZ DO

Jessica Wertz is a primary care provider established in Fairfax, Virginia and her medical specialization is Family Medicine with a focus in sports medicine with more than 15 years of experience. She graduated from Ohio University, College Of Osteopathic Medicine in 2008. The NPI number of Jessica Wertz is 1104080050 and was assigned on July 2008. The practitioner's primary taxonomy code is 207QS0010X with license number 0102204185 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1104080050
Provider Name JESSICA WERTZ DO
Location Address8501 ARLINGTON BLVD STE 200 FAIRFAX, VA 22031
Location Phone(703) 204-2626
Mailing Address844 WASHINGTON RD SUITE 102 WESTMINSTER, MD 21157
GenderFemale
NPI Entity TypeIndividual
Medical School NameOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2008
Is Sole Proprietor?No
Enumeration Date07-10-2008
Last Update Date07-22-2021

A primary care provider (PCP) like Jessica Wertz Do sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Jessica Wertz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jessica Wertz is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.14 for a new patient copayment and $30.05 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207QS0010X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationSports Medicine
License No.0102204185
License StateVA
Taxonomy DescriptionA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JESSICA WERTZ DO
8501 ARLINGTON BLVD STE 200
FAIRFAX, VA
ZIP 22031
Phone: (703) 204-2626
Fax: (703) 205-7324

Get Directions


Mailing Address

JESSICA WERTZ DO
844 WASHINGTON RD
SUITE 102
WESTMINSTER, MD
ZIP 21157
Phone: (410) 871-0088
Fax: (410) 871-0083


Secondary Locations

844 Washington Rd Suite 102
Westminster, MD 21157
(410) 871-0088


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID8325204365
PECOS Enrollment IDI20150623002391, I20151005000216
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 22031 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$68.56 $204.56 $104.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.14 $51.14 $26.14
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.87 $167.24 $120.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.46 $41.81 $30.05

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 77.2
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 92Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 14Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineH0076278MDNo

Taxonomy Description: a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
068733200MEDICAID (05)MD

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104080050
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104080010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 8 + 0 + 0 + 1 + 0 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104080050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659800431 ALEJANDRO GERARDO CRUZ
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1538529219 JENNIFER NICOLE BURKHALTER DPT, OCS,CSCS
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1063803062DR. ALBERT PANNONE PT, DPT, ATC
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6423
1780683946 VANESSA MARIE HODGE DPT, PT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1629414339 UGOCHI OKOROAFOR-RIDGWAY MD
Individual
Orthopaedic Surgery8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1003017286DR. GREG E GASKI MD
Individual
Orthopaedic Surgery8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1699226159 ANNA ARMISTEAD CLINTON NP
Individual
Nurse Practitioner (Family)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1023471141DR. NATALIE RAKESTRAW PT, DPT, OCS
Individual
Physical Therapist (Orthopedic)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1659975878DR. EMILY ANASTASIA BLUM PT, DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1093335549 MONA ELSAYED
Individual
Occupational Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1598355224DR. LAURA D'COSTA PT, DPT, PAM-GC
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1154096766 MICHAEL DATILES DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1013019868 ROBERT B STINGER MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 205-2626
1669142170 SHANNON HEALY DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1013656941 THOMAS FINNEGAN RONAYNE DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1255628350DR. CORINE LEIGH CREECH D.P.M.
Individual
Podiatrist (Foot Surgery)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464

Frequently Asked Questions

What is Jessica Wertz DO NPI number?

The NPI number assigned to Jessica Wertz DO is 1104080050, registered as an "individual" on July 10, 2008

Where is Jessica Wertz DO located?

The provider is located at 8501 Arlington Blvd Ste 200 Fairfax, Va 22031 and the phone number is (703) 204-2626

Which is Jessica Wertz DO specialty?

The provider's speciality is Family Medicine with a focus in Sports Medicine

How many years of experience does Jessica Wertz DO have?

The provider has more than 15 years of experience. She graduated from Ohio University, College Of Osteopathic Medicine in 2008.

What insurance does Jessica Wertz DO accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Jessica Wertz DO registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Jessica Wertz DO?

Medicare beneficiaries should expect a typical cost of $104.59 with an average copayment of $26.14 for new patient appointments. Established patients should expect a typical charge of $120.2 and an average copayment of 30.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Jessica Wertz DO?

The most common procedures or services performed by this practitioner are: Injection, triamcinolone acetonide, not otherwise specified, 10 mg and Aspiration and/or injection of large joint or joint capsule.

How do I update my NPI information?

The NPI record of Jessica Wertz DO was last updated on July 10, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]