DR. JEREMY BOUSSELOT M.D.
NPI 1558660811
Internal Medicine in Arlington, VA

Q: What is Jeremy Bousselot's NPI number?

The NPI number for Jeremy Bousselot is 1558660811. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Q: What is Jeremy Bousselot's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Bousselot was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 24, 2011PECOS EnrolledAccepts Medicare Assignment

77.36/100

CMS Quality Rating

1701 N GEORGE MASON DR, ARLINGTON, VA 22205(703) 717-4400(703) 717-4401 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Jeremy Bousselot M.d. NPPES

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

DR. JEREMY BOUSSELOT M.D. (NPI 1558660811) is an individual internal medicine provider in Arlington, Virginia, licensed in Virginia (0101255360) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Georgetown University School Of Medicine (2011).

NPPES Registry Identity

NPI1558660811

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEREMY BOUSSELOTCredential: M.D.

Location Address1701 N GEORGE MASON DRArlington, VA 22205-3610

Mailing Address1625 N George Mason Dr Ste 345Arlington, VA 22205-3690 · (703) 717-4400 · Fax (703) 717-4401

Phone(703) 717-4400

Fax(703) 717-4401

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 2011

Enumeration DateMarch 24, 2011

Last NPPES UpdateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1558660811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101255360

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.

Also ListedHospitalistTaxonomy 208M00000X · License 0101255360 (VA)

1701 N GEORGE MASON DR, 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. Jeremy Bousselot 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 ID1456579093

PECOS Enrollment IDI20140825000217

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 Reassignment

Medicare enrollment records show Jeremy Bousselot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Hospital Center Physician Group, LLC

Same address

Infectious Disease

1701 N GEORGE MASON DR, WOUND CARE SUITE G200
Arlington, VA 22205

Reassigned Medicare billing, District of Columbia enrollment
436 clinicians in this Medicare group

NPI 1083056964 (703) 558-6600

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 2

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.

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.

82 services80 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

36 services36 patients

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 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

$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.

77.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.82

Promoting Interoperability

Improvement Activities

Cost

54.56

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers19 claims19 services$31.81 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers12 claims72 services$14.77 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers13 claims13 services$49.12 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers11 claims11 services$14.33 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers18 claims108 services$1.69 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 20

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

CHRISTINA WALD RN

Nurse Anesthetist, Certified Registered

1701 N GEORGE MASON DR
ARLINGTON, VA 22205

Arlington County (714) 904-0496

DR. BRIAN CARUTH PHARMD

Pharmacist

1701 N GEORGE MASON DR
ARLINGTON, VA 22205

Arlington County (703) 558-5000

MS. DEBORAH ANNA FISCHETTI CNNP

Nurse Practitioner (Neonatal, Critical Care)

1701 N GEORGE MASON DR
ARLINGTON, VA 22205

Arlington County (703) 558-6675

DR. MUSHFIQUE AHMED MD

Anesthesiology

1701 N GEORGE MASON DR
ARLINGTON, VA 22205

Arlington County (703) 558-2438

MR. DAVID W GLOSE II CSFA

Specialist/Technologist, Other (Surgical Assistant)

1701 N GEORGE MASON DR
ARLINGTON, VA 22205

Arlington County (703) 558-5000

DR. MICHAEL ANDREW COLE M.D.

Internal Medicine (Critical Care Medicine)

1701 N GEORGE MASON DR, INTENSIVE CARE UNIT
ARLINGTON, VA 22205

Arlington County (571) 244-8410

EMALEE BLACK PHARMD

Pharmacist

1701 N GEORGE MASON DR
ARLINGTON, VA 22205

Arlington County (703) 558-5000

EFRAIN A. MARTINEZ CRNA

Nurse Anesthetist, Certified Registered

1701 N GEORGE MASON DR, SUITE 2D
ARLINGTON, VA 22205

Arlington County (703) 558-5000

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 Jeremy Bousselot's NPI number?

The NPI number for Jeremy Bousselot is 1558660811. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Jeremy Bousselot located?

Jeremy Bousselot practices at 1701 N George Mason Dr, Arlington, VA 22205. The listed phone number is (703) 717-4400.

What is Jeremy Bousselot's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeremy Bousselot enrolled in Medicare?

Yes. Jeremy Bousselot 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 Jeremy Bousselot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Bousselot reassigns Medicare benefits to Virginia Hospital Center Physician Group, LLC (Arlington, VA). 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 Jeremy Bousselot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeremy Bousselot affiliated with any hospitals?

According to CMS data, Jeremy Bousselot is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Jeremy Bousselot was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.