DR. PAUL GARDNER SCANLAN M.D.
NPI 1760621205
Internal Medicine in Fairfax, VA

Active since February 06, 2009PECOS EnrolledAccepts Medicare Assignment
62.13/100
CMS Quality Rating
10100 FAIRFAX BLVD, FAIRFAX, VA 22030(703) 679-1876 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Gardner Scanlan M.d. NPPES

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

DR. PAUL GARDNER SCANLAN M.D. (NPI 1760621205) is an individual internal medicine provider in Fairfax, Virginia, licensed in Virginia (0101246811) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2008).

NPPES Registry Identity

NPI1760621205
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL GARDNER SCANLANCredential: M.D.
Location Address10100 FAIRFAX BLVDFairfax, VA 22030-2000
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2008
Enumeration DateFebruary 6, 2009
Last NPPES UpdateApril 9, 2018
NPI 1760621205 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 · 0101246811
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.
10100 FAIRFAX BLVD, Fairfax, VA 22030

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. Paul Gardner Scanlan 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 ID1153632658
PECOS Enrollment IDI20150730012293
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 29

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.
344 services316 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.
200 services190 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
142 services138 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
124 services31 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.
115 services115 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
86 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

Other Providers at the Same Location NPPES 12

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

Internal Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Family Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Physician Assistant
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Clinic/Center (Urgent Care)
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Physician Assistant
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Family Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Physician Assistant
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Internal Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030

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 Paul Scanlan's NPI number?

The NPI number for Paul Scanlan is 1760621205. It was assigned to this individual provider in the NPPES registry on February 6, 2009.

Where is Paul Scanlan located?

Paul Scanlan practices at 10100 Fairfax Blvd, Fairfax, VA 22030. The listed phone number is (703) 679-1876.

What is Paul Scanlan's specialty?

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

Is Paul Scanlan enrolled in Medicare?

Yes. Paul Scanlan 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.

When was this NPI record last updated?

The NPPES record for Paul Scanlan was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.