NPPES file of Aug 9, 2026

Philip J. O'Donnell, M.D.

Internal Medicine Physician · Falls Church, VA

Philip J. O'Donnell, M.D. is an internal medicine physician with a practice address in Falls Church, Virginia, and NPI 1396706206, issued on Mar 30, 2006. Check the license (Virginia 0101043748, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1396706206
Name
Philip J. O'Donnell
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
0101043748 VA
Self-reported in NPPES; status is on the state search
Practice location
513 W Broad St, Falls Church, VA 22046
Phone
(703) 940-0000
Enumerated
Mar 30, 2006
Record last updated
Dec 12, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(703) 782-0207
Medicare enrollment
Enrolled (PECOS I20250820000046); accepts Medicare assignment
Medical or professional school
Georgetown University School Of Medicine, 1987
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Philip J. O'Donnell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101043748
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

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97% fewer Medicare Part D claims than the average internal medicine physician in 2024

83 Medicare Part D claims for 29 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.

  1. Philip O'Donnell83
  2. Specialty average3,176

Most prescribed

  1. Rosuvastatin Calcium17 claims
  2. Memantine Hcl Er14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 22 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score0.0
  2. Costout of 100 · 30%73.3
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Forsyth Medical Group, LLCHuntersville, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Philip J. O'Donnell among 3,599 internal medicine physician records in Virginia

Philip J. O'Donnell, M.D. is one of 3,599 internal medicine physician records with a practice address in Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 55% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated1987 · median 2003 among the 2,234 with a school on file
  • Record last updated2013 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

181 internal medicine physician records list a practice address in Falls Church

They are 181 of the 3,991 NPPES records with a practice address in Falls Church, and 3,599 internal medicine physician records in Virginia.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Masud Baksh, M.D.Falls Church, VA 220461992774202
  2. Leigh Boldt, MDFalls Church, VA 220461841368198
  3. Rajendra Borkar, M.D.Falls Church, VA 220461740345222
  4. Ritu Cuttica, DOFalls Church, VA 220461942239942
  5. Michelle De Netto, MDFalis Church, VA 220461013078872
  6. Susan Deren, M.D.Falls Church, VA 220461588713192
  7. Daniella Hines, M.D.Falls Church, VA 220461619088911
  8. Donna Lee, MDFalls Church, VA 220461750468344

Common questions

What is Philip J. O'Donnell, M.D.'s NPI number?

Philip J. O'Donnell, M.D.'s National Provider Identifier (NPI) is 1396706206, issued on Mar 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Philip J. O'Donnell, M.D. located?

The NPPES record lists a practice address at 513 W Broad St, Falls Church, VA, 22046. Phone: (703) 940-0000. Providers update this record themselves, so call before visiting.

How can I verify Philip J. O'Donnell, M.D.'s license?

NPPES lists Virginia license number 0101043748, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Philip J. O'Donnell, M.D. prescribe under Medicare Part D?

In 2024, Philip J. O'Donnell, M.D. had 83 Medicare Part D claims for 29 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Philip J. O'Donnell, M.D.'s MIPS final score?

The 2023 MIPS final score is 22 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.