MR. WONSOCK SHIN M.D.
NPI 1821098203
Internal Medicine in Vienna, VA

Active since July 27, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 49D2076938 · Waiver
24.85/100
CMS Quality Rating
410 PINE ST SE, SUITE 200, VIENNA, VA 22180(703) 865-8615(301) 777-7455 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Wonsock Shin M.d. NPPES

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

MR. WONSOCK SHIN M.D. (NPI 1821098203) is an individual internal medicine provider in Vienna, Virginia, licensed in Maryland (D0055325) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 28, 2028, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1821098203
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. WONSOCK SHINCredential: M.D.
Location Address410 PINE ST SE, SUITE 200Vienna, VA 22180-4861
Mailing Address410 Pine St Se, Suite 200Vienna, VA 22180-4861 · (703) 865-8615 · Fax (301) 777-7455
Fax(301) 777-7455
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 27, 2005
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1821098203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0055325
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.
410 PINE ST SE, Vienna, VA 22180

Other Identifiers 1

Medicaid226305000MD

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

Mr. Wonsock Shin 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 ID3577611938
PECOS Enrollment IDI20140430001263
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2076938

Wonsock Shin, MD, LLC · Vienna, VA
Active · expires Apr 28, 2028
CLIA Number49D2076938
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorWonsock Shin
Laboratory Phone(301) 697-6555
Laboratory LocationWonsock Shin, MD, LLC410 Pine Street, SE - Suite 200, Vienna, VA 22180
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,149 services43 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.
1,542 services420 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
279 services274 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
274 services274 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
270 services270 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
171 services165 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22180 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.

24.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost82.85

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers76 claims151 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers35 claims39 services$1.10 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$19.02 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$8.59 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier21 claims960 services$6.22 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier21 claims630 services$4.49 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 8

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

Chiropractor (Nutrition)
410 PINE ST SE, SUITE 320
VIENNA, VA 22180
Specialist
410 PINE ST SE, SUITE 320
VIENNA, VA 22180
Preventive Medicine (Undersea and Hyperbaric Medicine)
410 PINE ST SE, SUITE 320
VIENNA, VA 22180
Internal Medicine
410 PINE ST SE, SUITE 320
VIENNA, VA 22180
Dentist (Pediatric Dentistry)
410 PINE ST SE, SUITE # 100
VIENNA, VA 22180
General Practice
410 PINE ST SE, SUITE 320
VIENNA, VA 22180
Preventive Medicine (Undersea and Hyperbaric Medicine)
410 PINE ST SE, SUITE 330
VIENNA, VA 22180
Internal Medicine
410 PINE ST SE, SUITE 200
VIENNA, VA 22180

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 Wonsock Shin's NPI number?

The NPI number for Wonsock Shin is 1821098203. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Wonsock Shin located?

Wonsock Shin practices at 410 Pine St SE Suite 200, Vienna, VA 22180. The listed phone number is (703) 865-8615.

What is Wonsock Shin's specialty?

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

Is Wonsock Shin enrolled in Medicare?

Yes. Wonsock Shin 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.

Does Wonsock Shin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2076938) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wonsock Shin was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.