JOHN PHILLIP ESSEPIAN III M.D.
NPI 1376766816
Ophthalmology in Fairfax, VA

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3031 JAVIER RD STE 300, FAIRFAX, VA 22031(703) 698-8880(703) 698-8884 Get Directions Write a Review

NPPES record last updated: February 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Phillip Essepian Iii M.d. NPPES

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

JOHN PHILLIP ESSEPIAN III M.D. (NPI 1376766816) is an individual ophthalmology provider in Fairfax, Virginia, licensed in Virginia (0101051247) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alexandria, and is a graduate of Georgetown University School Of Medicine (1988).

NPPES Registry Identity

NPI1376766816
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN PHILLIP ESSEPIAN IIICredential: M.D.
Location Address3031 JAVIER RD STE 300Fairfax, VA 22031-4638
Mailing Address3031 Javier Rd, Ste 300Fairfax, VA 22031-4637 · (703) 698-8880 · Fax (703) 698-8884
Fax(703) 698-8884
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1988
Enumeration DateApril 11, 2007
Last NPPES UpdateFebruary 24, 2019
NPI 1376766816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101051247
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 0101051247 (VA)
3031 JAVIER RD STE 300, Fairfax, VA 22031

Secondary Practice Location 1

Location 15249 Duke St Ste 5255Alexandria, VA 22304-2926 · Phone (703) 823-5205 · Fax (703) 823-9391

Other Identifiers 1

Other0101051247VA · Medical License

Accepted Insurance

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

John Phillip Essepian Iii 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 ID2062451958
PECOS Enrollment IDI20071101000495
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 17

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,015 services1,011 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.
997 services608 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
482 services297 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
439 services271 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
384 services384 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
265 services261 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Optometrist
3031 JAVIER RD STE 300
FAIRFAX, VA 22031
Ophthalmology (Glaucoma Specialist)
3031 JAVIER RD STE 300
FAIRFAX, VA 22031

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 John Essepian's NPI number?

The NPI number for John Essepian is 1376766816. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is John Essepian located?

John Essepian practices at 3031 Javier Rd Ste 300, Fairfax, VA 22031. The listed phone number is (703) 698-8880.

What is John Essepian's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Essepian enrolled in Medicare?

Yes. John Essepian 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.

What insurance does John Essepian accept?

Health plans from Providence Health Plan list John Essepian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Essepian was last updated on February 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.