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ANTONIO K USMAN M.D.
NPI 1912018557
Internal Medicine in Arlington, VA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
76.89/100
CMS Quality Rating
4600 LANGSTON BLVD, ARLINGTON, VA 22207(571) 492-3080(571) 492-3081 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2022, Mar 31, 2021, Oct 19, 2020 and 1 more (4 updates tracked since 2018).

About Antonio K Usman M.d. NPPES

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

ANTONIO K USMAN M.D. (NPI 1912018557) is an individual internal medicine provider in Arlington, Virginia, licensed in Virginia (0101049986) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1912018557
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTONIO K USMANCredential: M.D.
Location Address4600 LANGSTON BLVDArlington, VA 22207
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Phone(571) 492-3080
Fax(571) 492-3081
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 19, 20224 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1912018557 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 · 0101049986
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 ListedFamily MedicineTaxonomy 207Q00000X · License C148939 (CA)
4600 LANGSTON BLVD, Arlington, VA 22207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15501 Backlick Rd, Suite 105Springfield, VA 22151-3933 · Phone (703) 642-2273 · Fax (703) 564-6544
Location 24600 Lee Hwy Ste CArlington, VA 22207-3419 · Phone (571) 492-3080 · Fax (571) 492-3081

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

Antonio K Usman 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 ID9335284892
PECOS Enrollment IDI20100308001011, I20111018000579
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 9

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.

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.
94 services94 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.
52 services51 patients
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.
51 services51 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.
46 services23 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
32 services32 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22207 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.

76.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.74
Promoting Interoperability100
Improvement Activities40
Cost42.22

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.

MRS. MADELEINE MARGARET GILLWALD FNP
Nurse Practitioner (Family)
4600 LANGSTON BLVD
ARLINGTON, VA 22207
Arlington County (571) 492-3080
MS. IMANI CASSHAWN CHISLEY-PITTMON FNP
Nurse Practitioner (Family)
4600 LANGSTON BLVD
ARLINGTON, VA 22207
Arlington County (571) 492-3080
ASHLEY A HOWARD FNP
Nurse Practitioner (Family)
4600 LANGSTON BLVD
ARLINGTON, VA 22207
Arlington County (571) 492-3080
MRS. EMILINE B JASPER FNP
Nurse Practitioner (Family)
4600 LANGSTON BLVD
ARLINGTON, VA 22207
Arlington County (571) 492-3080

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 Antonio Usman's NPI number?

The NPI number for Antonio Usman is 1912018557. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Antonio Usman located?

Antonio Usman practices at 4600 Langston Blvd, Arlington, VA 22207. The listed phone number is (571) 492-3080.

What is Antonio Usman's specialty?

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

Is Antonio Usman enrolled in Medicare?

Yes. Antonio Usman 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 Antonio Usman was last updated on May 19, 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.