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DR. JOSHUA P OPPENHEIM M.D.
NPI 1699781609
Otolaryngology in Springfield, VA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
92.18/100
CMS Quality Rating
8314 TRAFORD LN, C, SPRINGFIELD, VA 22152(703) 644-7804(703) 644-1508 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joshua P Oppenheim M.d. NPPES

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

DR. JOSHUA P OPPENHEIM M.D. (NPI 1699781609) is an individual otolaryngology provider in Springfield, Virginia, licensed in Virginia (0101041329) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of Wake Forest University School Of Medicine (1982).

NPPES Registry Identity

NPI1699781609
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOSHUA P OPPENHEIMCredential: M.D.
Location Address8314 TRAFORD LN, CSpringfield, VA 22152-1651
Mailing Address8314 Traford Ln, CSpringfield, VA 22152-1651 · (703) 644-7804 · Fax (703) 644-1508
Phone(703) 644-7804
Fax(703) 644-1508
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 1982
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 24, 2016
✔ NPI 1699781609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VA · 0101041329
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
8314 TRAFORD LN, Springfield, VA 22152
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Other Identifiers 3

Medicare UPINE23110VA
Medicare PIN040000450VA
Medicare PIN0P567990VA

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. Joshua P Oppenheim 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 ID6002809324
PECOS Enrollment IDI20040405000343
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 10

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 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.
231 services184 patients
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.
151 services139 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.
118 services118 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
107 services91 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.
105 services105 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
79 services72 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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 22152 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.

92.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.33
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%105 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
8%36 patients4/55-star benchmark: 100%
Advance Care Plan
99%777 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
48%3,267 patients1/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%38 patients
Provide Patients Electronic Access to Their Health Information
98%3,630 patients4/55-star benchmark: 100%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
0%24 patients
Sleep Apnea: Severity Assessment at Initial Diagnosis
47%34 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers13 claims69 services$11.57 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
6 suppliers14 claims14 services$44.63 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 4

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

RICHARD E GARDNER M.D.
Otolaryngology
8314 TRAFORD LN, C
SPRINGFIELD, VA 22152
Fairfax County (703) 644-7804
ENT NEONATAL OF NORTHERN VIRGINIA
Audiologist
8314 TRAFORD LN, LOWER LEVEL
SPRINGFIELD, VA 22152
Fairfax County (703) 451-0973
JOSEF GURIAN M.D.
Otolaryngology
8314 TRAFORD LN, STE C
SPRINGFIELD, VA 22152
Fairfax County (703) 644-7800
MICHELLE M ROESER MD
Otolaryngology
8314 TRAFORD LN, C
SPRINGFIELD, VA 22152
Fairfax County (703) 644-7804

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 Joshua Oppenheim's NPI number?

The NPI number for Joshua Oppenheim is 1699781609. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Joshua Oppenheim located?

Joshua Oppenheim practices at 8314 Traford Ln C, Springfield, VA 22152. The listed phone number is (703) 644-7804.

What is Joshua Oppenheim's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joshua Oppenheim enrolled in Medicare?

Yes. Joshua Oppenheim 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.

Is Joshua Oppenheim affiliated with any hospitals?

According to CMS data, Joshua Oppenheim is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Joshua Oppenheim was last updated on March 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.