MR. STEPHEN C SADDLER M.D.
NPI 1750303962
Orthopaedic Surgery in Arlington, VA
Quality Rating: 63.54 out of 100 score
NPI Status: Active since July 24, 2006
Contact Information
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
Phone: (703) 892-6500
Fax: (703) 521-3415
- Individual
- Male
- Years of Experience 38
- Orthopaedic Surgery
- Accepts Medicare Approved Payment
About STEPHEN SADDLER
This page provides the complete NPI Profile along with additional information for Stephen Saddler, a provider established in Arlington, Virginia with a medical specialization in Orthopaedic Surgery and more than 38 years of experience. He graduated from Un Of California, Irvine, College Of Medicine in 1988. The healthcare provider is registered in the NPI registry with number 1750303962 assigned on July 2006. The practitioner's primary taxonomy code is 207X00000X with license number 0101052798 (VA). The provider is registered as an individual and his NPI record was last updated February 2025.
- NPI
- 1750303962
- Provider Name
- MR. STEPHEN C SADDLER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2800 S SHIRLINGTON RD STE 1100 ARLINGTON, VA 22206
- Location Phone
- (703) 892-6500
- Location Fax
- (703) 521-3415
- Mailing Address
- 2800 S SHIRLINGTON RD STE 1100 ARLINGTON, VA 22206
- Mailing Phone
- (703) 892-6500
- Mailing Fax
- (703) 521-3415
- Medical School Name
- UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-24-2006
- Last Update Date
- 02-02-2025
- Code Navigator
Location Map
Secondary Locations
- 2501 Parkers Ln
Alexandria, VA 22306
(703) 892-6500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101052798
- License State
- VA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 204C00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine | 0101052798 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
145530100 | OTHER (01) | DEPARTMENT OF LABOR | |
P00887809 | OTHER (01) | RAILRAOD MEDICARE PTAN | |
786175YZW | OTHER (01) | METRO MEDICARE | |
46950042 | OTHER (01) | CAREFIRST NCA |
Medicare Participation & PECOS Enrollment Status
Stephen Saddler is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2961302534
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100304000077
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid large joint using ultrasound guidance
Complete ultrasound scan of joint
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
Injection, methylprednisolone acetate, 40 mg
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of extensive shoulder joint tissue using an endoscope
Removal of knee cartilage using an endoscope
Repair of inside or outside knee joint cartilage using an endoscope
Repair of shoulder rotator cuff using an endoscope
Replacement of knee joint, both sides of knee
Shaving of part of shoulder bone and repair of ligament using an endoscope
Upper limb (arm) arthroscopy (minimally invasive joint repair)
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 4 or more views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of shoulder, minimum of 2 views
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
This service was performed 269 times for 178 patientsA complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
This service was performed 53 times for 51 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 110 times for 95 patientsThis 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.
This service was performed 329 times for 207 patientsThis 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.
This service was performed 385 times for 248 patientsThis 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.
This service was performed 21 times for 20 patientsHyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.
This service was performed 219 times for 117 patientsMethylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
This service was performed 111 times for 94 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 39 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 40 patientsThis 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.
This service was performed 56 times for 56 patientsThis 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.
This service was performed 60 times for 60 patientsThis procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
This service was performed 19 times for 19 patientsThis procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.
This service was performed 11 times for 11 patientsThis procedure involves using a small camera, called an endoscope, to view and repair damaged cartilage in the knee joint. It's a less invasive method that promotes quicker recovery. The goal is to relieve pain and improve knee function.
This service was performed 16 times for 16 patientsThis procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
This service was performed 20 times for 20 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 20 times for 18 patientsThis procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
This service was performed 20 times for 20 patientsUpper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.
This service was performed for 29 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 33 times for 32 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 37 times for 33 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 240 times for 184 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 15 times for 14 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 137 times for 105 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 63.54, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 63.54 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 70.43
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 40
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 58.03
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 58.03
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephen Saddler is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
INOVA ALEXANDRIA HOSPITAL | 4320 SEMINARY RD ALEXANDRIA, VA 22304 | (703) 504-3167 | Acute Care Hospitals | |
INOVA MOUNT VERNON HOSPITAL | 2501 PARKERS LANE ALEXANDRIA, VA 22306 | (703) 664-7000 | Acute Care Hospitals |
Reviews for MR. STEPHEN C SADDLER M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 3 | 0 | 3 | 9 | 6 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 0 | 6 | 9 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 0 + 6 + 9 + 1 + 2 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1750303962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ANDERSON CLINIC INC
Orthopaedic Surgery
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
DR. NIGEL M AZER MD
Orthopaedic Surgery
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
GEORGE C BRANCHE M.D.
Orthopaedic Surgery
(Sports Medicine)
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
KRISTIN A DUFF CARLINI PA-C
Physician Assistant
(Surgical)
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
DR. C ANDERSON ENGH JR. M.D.
Orthopaedic Surgery
(Adult Reconstructive Orthopaedic Surgery)
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
SHIRLEY LAZARO PA-C
Physician Assistant
(Surgical)
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
AARON GEBRELUL MD
Orthopaedic Surgery
(Adult Reconstructive Orthopaedic Surgery)
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
MARIANITA CARBAJAL DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
NEVADA NILSSON DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
ROSHANAK HASSANZADEH OTD
Occupational Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
WILSON PARK DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
BENJAMIN C CARR PT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
DAVID SISK DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
DAMODAR THAPA DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
SETH MCCHESNEY DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
PATRICIA M MUSE MPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
XIAOXUE ZHANG OT
Occupational Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
DANIELLE E BLOOM PT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
MELISSA LIU DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
LINDSEY M SMART DPT
Physical Therapist
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA
ZIP 22206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750303962, enumerated as an "individual" on July 24, 2006.
The provider is located at 2800 S SHIRLINGTON RD STE 1100 ARLINGTON, VA 22206 and the phone number is (703) 892-6500.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Stephen Saddler is affiliated with: INOVA ALEXANDRIA HOSPITAL and INOVA MOUNT VERNON HOSPITAL.