DR. WILLIAM T HUTCHENS JR. M.D.
NPI 1356316376
Internal Medicine - Critical Care Medicine in Washington, DC

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
77.78/100
CMS Quality Rating
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(410) 955-5000 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2024, Mar 29, 2021, Jul 23, 2019 (3 updates tracked since 2019).

About Dr. William T Hutchens Jr. M.d. NPPES

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

DR. WILLIAM T HUTCHENS JR. M.D. (NPI 1356316376) is an individual critical care medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD32458) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356316376
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. WILLIAM T HUTCHENS JR.Credential: M.D.
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (540) 536-7087 · Fax (540) 536-6625
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1995
Enumeration DateFebruary 22, 2006
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1356316376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in DC · MD32458 Licensed in MD · D0074698 Licensed in VA · 0101234805
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101234805 (VA), D0074698 (MD)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License D0074698 (MD), 0101234805 (VA)
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License 0101234805 (VA)
5255 LOUGHBORO RD NW, Washington, DC 20016

Secondary Practice Locations 2

Location 119455 Deerfield Ave, Suite 206Leesburg, VA 20176-8102 · Phone (703) 858-9608 · Fax (703) 858-9618
Location 21840 Amherst StWinchester, VA 22601 · Phone (540) 536-7087 · Fax (540) 536-6625

Other Identifiers 15

OtherPARVA · Cigna
Other289493VA · Anthem
OtherPARVA · First Health Commercial/southern Health/coventry
OtherPARVA · Corvel/corcare
Other2115910VA · Uhc/mamsi
OtherPARVA · Virginia Premier Health
Other066JKNC · Bc/bs
OtherPARVA · Virginia Health Network
Medicaid009999311VA
Other71410VA · Sentara Optima
Medicaid89066JKNC
OtherPARVA · Multiplan
OtherPARVA · Aetna
Other-029VA · Tricare/champus
OtherPARVA · Usa Managed Care

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

Dr. William T Hutchens Jr. M.d. 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 ID2961544754
PECOS Enrollment IDI20100115000765, I20150511000041
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
205 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
132 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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.

77.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.47
Promoting Interoperability84
Improvement Activities40
Cost65.8

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.

Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 William Hutchens's NPI number?

The NPI number for William Hutchens is 1356316376. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is William Hutchens located?

William Hutchens practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (410) 955-5000.

What is William Hutchens's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is William Hutchens enrolled in Medicare?

Yes. William Hutchens 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 William Hutchens affiliated with any hospitals?

According to CMS data, William Hutchens is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for William Hutchens was last updated on November 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.