MCLEAN TYSONS ORTHOPEDIC SURGERY CENTER, LLC
NPI 1942883764
Clinic/Center - Ambulatory Surgical in Mc Lean, VA

Q: What is Mclean Tysons Orthopedic Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since April 29, 2021CLIA 49D2255598 · Waiver

1760 OLD MEADOW RD, MC LEAN, VA 22102(860) 667-9542 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mclean Tysons Orthopedic Surgery Center, Llc NPPES

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

MCLEAN TYSONS ORTHOPEDIC SURGERY CENTER, LLC (NPI 1942883764) is a healthcare organization registered as an ambulatory surgical in Mc Lean, Virginia and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Lucille Formeister, Dir. Bus Systems, as its authorized official.

NPPES Registry Identity

NPI1942883764

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMCLEAN TYSONS ORTHOPEDIC SURGERY CENTER, LLC

Location Address1760 OLD MEADOW RDMc Lean, VA 22102-4331

Mailing Address1760 Old Meadow RdMc Lean, VA 22102-4331 · (860) 667-9542

Phone(860) 667-9542

Organization SubpartNo

Authorized OfficialLucille FormeisterDir. Bus Systems · (860) 667-9542

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1942883764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1760 OLD MEADOW RD, Mc Lean, VA 22102

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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 49D2255598

Mclean Tysons Orthopedic Surgery Center LLC · Mclean, VA

Active · expires Mar 15, 2028

CLIA Number49D2255598

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 16, 2026

Certificate Expiration DateMarch 15, 2028

Laboratory DirectorWilliam Mook

Laboratory Phone(571) 519-7097

Laboratory LocationMclean Tysons Orthopedic Surgery Center LLC1760 Old Meadow Road, Suite 100, Mclean, VA 22102

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Replacement of knee joint, both sides of knee 27447

A 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.

117 services116 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

73 services66 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

55 services54 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

49 services40 patients

Repair of shoulder rotator cuff using an endoscope 29827

This 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.

36 services36 patients

Removal of knee cartilage using an endoscope 29881

This 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.

32 services31 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

27 services27 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

26 services20 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

24 services24 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

19 services19 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

17 services17 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

13 services13 patients

Transfer of tendon to back of hand 26480

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

12 services12 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

11 services11 patients

Other Providers at the Same Location NPPES 3

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

DR. DANIELLE SUNSHINE CHERRICK M.D.

Physical Medicine & Rehabilitation

1760 OLD MEADOW RD, STE 500
MC LEAN, VA 22102

Fairfax County (703) 810-5217

LAUREN ALISON KERR FNP-BC

Nurse Practitioner (Family)

1760 OLD MEADOW RD
MC LEAN, VA 22102

Fairfax County (703) 277-2663

THE BALANCE CENTER, LLC

Clinic/Center (Physical Therapy)

1760 OLD MEADOW RD
MC LEAN, VA 22102

Fairfax County (703) 403-0848

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 Mclean Tysons Orthopedic Surgery Center, LLC's NPI number?

The NPI number for Mclean Tysons Orthopedic Surgery Center, LLC is 1942883764. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Mclean Tysons Orthopedic Surgery Center, LLC located?

Mclean Tysons Orthopedic Surgery Center, LLC is located at 1760 Old Meadow Rd, Mc Lean, VA 22102. The listed phone number is (860) 667-9542.

What is Mclean Tysons Orthopedic Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mclean Tysons Orthopedic Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2255598) is associated with this NPI, valid through March 15, 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 Mclean Tysons Orthopedic Surgery Center, LLC was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.