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DR. PHILIP J. O'DONNELL M.D.
NPI 1396706206
Internal Medicine in Falls Church, VA

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
21.97/100
CMS Quality Rating
513 W BROAD ST, UNIT 100, FALLS CHURCH, VA 22046(703) 940-0000(703) 782-0207 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1396706206
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PHILIP J. O'DONNELLCredential: M.D.
Location Address513 W BROAD ST, UNIT 100Falls Church, VA 22046-3248
Mailing Address513 W Broad St, Unit 100Falls Church, VA 22046-3248 · (703) 940-0000 · Fax (703) 782-0207
Phone(703) 940-0000
Fax(703) 782-0207
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1987
Enumeration DateMarch 30, 2006
Last NPPES UpdateDecember 12, 2013
✔ NPI 1396706206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101043748
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
513 W BROAD ST, Falls Church, VA 22046
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Other Identifiers 3

OtherG02788VA · Mcr Pca Grp Ptan
Other0101043748VA · State Lic #
OtherG02788P01VA · Medicare Ind Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

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.

PECOS PAC ID5597720763
PECOS Enrollment IDI20250820000046
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.

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, 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

Physician 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.

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.

21.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost73.26

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 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 2

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

FALLS CHURCH PILATES LLC
Physical Therapist
513 W BROAD ST
FALLS CHURCH, VA 22046
Falls Church City (703) 532-3773
VIRGINIA HEALTH CENTER
Internal Medicine
513 W BROAD ST, SUITE 100
FALLS CHURCH, VA 22046
Falls Church City (703) 940-0000

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.

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.