DR. PAUL JOHN O'BRIEN MD
NPI 1992865588
Internal Medicine - Cardiovascular Disease in Annandale, VA

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
6715 LITTLE RIVER TPKE STE 300, ANNANDALE, VA 22003(703) 751-6668(703) 642-1049 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2022, Feb 4, 2022, Oct 10, 2019 (3 updates tracked since 2019).

About Dr. Paul John O'brien Md NPPES

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

DR. PAUL JOHN O'BRIEN MD (NPI 1992865588) is an individual cardiovascular disease provider in Annandale, Virginia, licensed in Virginia (0101055808) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992865588
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL JOHN O'BRIENCredential: MD
Location Address6715 LITTLE RIVER TPKE STE 300Annandale, VA 22003-3546
Mailing Address6715 Little River Tpke Ste 300Annandale, VA 22003-3546 · (703) 751-6668 · Fax (703) 642-1049
Fax(703) 642-1049
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1986
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
NPI 1992865588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101055808
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6715 LITTLE RIVER TPKE STE 300, Annandale, VA 22003

Secondary Practice Locations 2

Location 14320 Seminary RdAlexandria, VA 22304-1535 · Phone (703) 504-3000 · Fax (703) 504-3388
Location 23300 Gallows RdFalls Church, VA 22042-3300 · Phone (703) 504-3000 · Fax (703) 504-3388

Other Identifiers 3

Medicaid010062802VA
Other5164685Aetna
OtherJ4230001Carefirst

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 John O'brien Md 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 ID5395737597
PECOS Enrollment IDI20040330001451
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 15

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 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.
1,390 services581 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
481 services448 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
290 services272 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
112 services28 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
63 services62 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
61 services61 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.85
Promoting Interoperability100
Improvement Activities40
Cost74.12

Reported Quality Measures

Advance Care Plan
67%878 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
45%105 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
80%600 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
88%25 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%125 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,819 patients4/55-star benchmark: 100%
e-Prescribing
94%1,190 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%1,113 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%1,140 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%767 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 22% · 883 patients
21%883 patients
Provide Patients Electronic Access to Their Health Information
92%610 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%703 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 854 patients
Patients totalRate: 0% · 854 patients
0%854 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Cardiovascular Disease)
6715 LITTLE RIVER TPKE STE 300
ANNANDALE, VA 22003
Internal Medicine (Cardiovascular Disease)
6715 LITTLE RIVER TPKE STE 300
ANNANDALE, VA 22003

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 O'brien's NPI number?

The NPI number for Paul O'brien is 1992865588. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Paul O'brien located?

Paul O'brien practices at 6715 Little River Tpke Ste 300, Annandale, VA 22003. The listed phone number is (703) 751-6668.

What is Paul O'brien's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul O'brien enrolled in Medicare?

Yes. Paul O'brien 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.

Is Paul O'brien affiliated with any hospitals?

According to CMS data, Paul O'brien is affiliated with Inova Alexandria Hospital, Virginia Hospital Center and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Paul O'brien was last updated on February 7, 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.