DR. ADAM MICHAEL WEGNER MD
NPI 1538428859
Orthopaedic Surgery in Arlington, VA

Q: What is Adam Wegner's NPI number?

The NPI number for Adam Wegner is 1538428859. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Q: What is Adam Wegner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adam Wegner was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 07, 2012PECOS EnrolledAccepts Medicare Assignment

76.36/100

CMS Quality Rating

1635 N GEORGE MASON DRIVE, SUITE 310, ARLINGTON, VA 22205(703) 810-5215 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2023, Sep 20, 2019, Aug 1, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Adam Michael Wegner Md NPPES

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

DR. ADAM MICHAEL WEGNER MD (NPI 1538428859) is an individual orthopaedic surgery provider in Arlington, Virginia, licensed in Virginia (0101276301) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Vanderbilt University School Of Medicine (2012).

NPPES Registry Identity

NPI1538428859

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. ADAM MICHAEL WEGNERCredential: MD

Location Address1635 N GEORGE MASON DRIVE, SUITE 310Arlington, VA 22205-3616

Mailing Address4601 Park Rd Ste 300Charlotte, NC 28209-2290 · (336) 659-3700

Phone(703) 810-5215

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2012

Enumeration DateMay 7, 2012

Last NPPES UpdateJanuary 6, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1538428859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in VA · 0101276301✔ Licensed in NC · 2019-01728

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.

1635 N GEORGE MASON DRIVE, Arlington, VA 22205

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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. Adam Michael Wegner 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 ID6507115532

PECOS Enrollment IDI20230119002884, I20240613004225

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.

Medicare Billing Reassignments

Medicare enrollment records show Adam Wegner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthovirginia, Inc

Same address

Multi-Specialty

1635 N GEORGE MASON DR, SUITE 310
Arlington, VA 22205

Reassigned Medicare billing, District of Columbia and Virginia enrollments
Also billed through NPI 1972203842 (Virginia)
193 clinicians in this Medicare group

NPI 1851314827 (703) 810-5215

Washington University

709 mi

Multi-Specialty

660 S EUCLID AVE, CAMPUS BOX 8233
Saint Louis, MO 63110

Reassigned Medicare billing, Missouri enrollment
157 clinicians in this Medicare group

NPI 1679516033 (314) 286-1937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 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.

342 services270 patients

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.

242 services23 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

216 services206 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

145 services127 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.

133 services117 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

72 services64 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

71 services64 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

69 services69 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.

26 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

17 services12 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun 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 Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490107

Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22205 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

Quality

67.16

Promoting Interoperability

100

Improvement Activities

Cost

54.07

Other Providers at the Same Location NPPES 7

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

MICHELLE A. RIVERA MD PC

Dermatology

1635 N GEORGE MASON DRIVE, SUITE 400
ARLINGTON, VA 22205

Arlington County (703) 524-7206

NORTHERN VIRGINIA NEUROLOGIC ASSOCIATES

Psychiatry & Neurology (Neurology)

1635 N GEORGE MASON DRIVE, #420
ARLINGTON, VA 22205

Arlington County (703) 536-4000

ELECTRODIAGNOSTIC ASSOCIATES

Psychiatry & Neurology (Neurology)

1635 N GEORGE MASON DRIVE, #420
ARLINGTON, VA 22205

Arlington County (703) 536-4000

DANIEL FOSTER DO

Psychiatry & Neurology (Neurology)

1635 N GEORGE MASON DRIVE, #420
ARLINGTON, VA 22205

Arlington County (703) 536-4000

ARLINGTON PRIMARY CARE PC

Internal Medicine

1635 N GEORGE MASON DRIVE, SUITE 490
ARLINGTON, VA 22205

Arlington County (703) 522-5300

DIANE MARY YAUNCHES CNM

Midwife

1635 N GEORGE MASON DRIVE, SUITE 185
ARLINGTON, VA 22205

Arlington County (703) 516-9600

DR. MICHELLE A RIVERA MD

Dermatology

1635 N GEORGE MASON DRIVE, SUITE 400
ARLINGTON, VA 22205

Arlington County (703) 524-7206

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 Adam Wegner's NPI number?

The NPI number for Adam Wegner is 1538428859. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Where is Adam Wegner located?

Adam Wegner practices at 1635 N George Mason Drive Suite 310, Arlington, VA 22205. The listed phone number is (703) 810-5215.

What is Adam Wegner's specialty?

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

Is Adam Wegner enrolled in Medicare?

Yes. Adam Wegner 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 organizations bill Medicare for Adam Wegner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Wegner reassigns Medicare benefits to 2 organizations: Orthovirginia, Inc (Arlington, VA) and Washington University (Saint Louis, MO). Each 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 Adam Wegner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adam Wegner affiliated with any hospitals?

According to CMS data, Adam Wegner is affiliated with Inova Alexandria Hospital, Inova Loudoun Hospital, Virginia Hospital Center, Inova Fairfax Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Adam Wegner was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.