DR. PHILIP J. O'DONNELL M.D.
NPI 1396706206
Internal Medicine in Falls Church, VA
About Dr. Philip J. O'donnell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP J. O'DONNELL M.D. (NPI 1396706206) is an individual internal medicine provider in Falls Church, Virginia, licensed in Virginia (0101043748) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Georgetown University School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Philip J. O'donnell 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.
Medicare Billing Reassignment
Medicare enrollment records show Philip O'donnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chapel Hill, NC 27514
- Reassigned Medicare billing, North Carolina enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Virginia Hospital Center
Acute Care Hospitals · Arlington, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
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 Philip O'donnell's NPI number?
The NPI number for Philip O'donnell is 1396706206. It was assigned to this individual provider in the NPPES registry on March 30, 2006.
Where is Philip O'donnell located?
Philip O'donnell practices at 513 W Broad St Unit 100, Falls Church, VA 22046. The listed phone number is (703) 940-0000.
What is Philip O'donnell's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Philip O'donnell enrolled in Medicare?
Yes. Philip O'donnell 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.
Which organization bills Medicare for Philip O'donnell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip O'donnell reassigns Medicare benefits to Forsyth Medical Group, LLC (Chapel Hill, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip O'donnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip O'donnell accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Philip O'donnell 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.
Is Philip O'donnell affiliated with any hospitals?
According to CMS data, Philip O'donnell is affiliated with Virginia Hospital Center.
When was this NPI record last updated?
The NPPES record for Philip O'donnell was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Philip J. O'donnell, M.D. · NPI 1396706206
Internal Medicine physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since March 30, 2006.
## Identity
- **NPI:** 1396706206 (Entity type: Individual)
- **Enumerated:** March 30, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101043748 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 513 W BROAD ST, UNIT 100, Falls Church, VA 22046-3248
- **Phone:** (703) 940-0000 · **Fax:** (703) 782-0207
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Forsyth Medical Group, LLC (NPI 1558174052, Chapel Hill, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** December 12, 2013
- **Other identifiers:** Other G02788 (VA); Other 0101043748 (VA); Other G02788P01 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1396706206) · Data from the CMS NPPES public registry.