THOMAS A MARTINELLI MD
NPI 1194748129
Orthopaedic Surgery in Alexandria, VA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
76.36/100
CMS Quality Rating
6355 WALKER LANE, SUITE 202, ALEXANDRIA, VA 22310(703) 810-5210(703) 810-5418 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas A Martinelli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS A MARTINELLI MD (NPI 1194748129) is an individual orthopaedic surgery provider in Alexandria, Virginia, licensed in Virginia (0101043868) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Georgetown University School Of Medicine (1985).

NPPES Registry Identity

NPI1194748129
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS A MARTINELLICredential: MD
Location Address6355 WALKER LANE, SUITE 202Alexandria, VA 22310
Mailing AddressPo Box 75420Baltimore, MD 21275-5420 · (703) 383-6469
Fax(703) 810-5418
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1985
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1194748129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in VA · 0101043868
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

6355 WALKER LANE, Alexandria, VA 22310

Other Identifiers 3

Other200035991Medicare Railroad
Medicaid6407790VA
OtherCA2348Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas A Martinelli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901932425
PECOS Enrollment IDI20100408000537
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,592 services186 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
556 services428 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
406 services326 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
388 services286 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
318 services199 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
267 services225 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.16
Promoting Interoperability100
Improvement Activities40
Cost54.07

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers22 claims22 services$36.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Orthopaedic Surgery
6355 WALKER LANE, SUITE 202
ALEXANDRIA, VA 22310
Audiologist
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Otolaryngology (Facial Plastic Surgery)
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Otolaryngology
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Nurse Practitioner
6355 WALKER LANE, STE 202
ALEXANDRIA, VA 22310
Specialist
6355 WALKER LANE, SUITE 510
ALEXANDRIA, VA 22310
Orthopaedic Surgery
6355 WALKER LANE, SUITE 202
ALEXANDRIA, VA 22310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Martinelli's NPI number?

The NPI number for Thomas Martinelli is 1194748129. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Thomas Martinelli located?

Thomas Martinelli practices at 6355 Walker Lane Suite 202, Alexandria, VA 22310. The listed phone number is (703) 810-5210.

What is Thomas Martinelli's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Martinelli enrolled in Medicare?

Yes. Thomas Martinelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Thomas Martinelli affiliated with any hospitals?

According to CMS data, Thomas Martinelli is affiliated with Inova Alexandria Hospital, Virginia Hospital Center and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Martinelli was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.