Mclean Tysons Orthopedic Surgery Center, LLC
NPI 1942883764 · Ambulatory Surgical Clinic/Center · Mc Lean, VA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mclean Tysons Orthopedic Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Mc Lean, VA (NPI 1942883764).
Provider details
- NPI number
- 1942883764
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lucille Formeister, Dir. Bus Systems(860) 667-9542
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
511 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Replacement of Knee Joint, Both Sides of Knee27447 | 117 | $8,714 |
| Release And/Or Relocation of Hand Nerve64721 | 73 | $858 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 55 | $9,077 |
| Incision of Tendon Covering of Finger26055 | 49 | $682 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 36 | $2,533 |
| Removal of Knee Cartilage Using an Endoscope |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Mclean Tysons Orthopedic Surgery Center, LLC's NPI number?
- Mclean Tysons Orthopedic Surgery Center, LLC's National Provider Identifier (NPI) is 1942883764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mclean Tysons Orthopedic Surgery Center, LLC?
- Mclean Tysons Orthopedic Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mclean Tysons Orthopedic Surgery Center, LLC located?
- Mclean Tysons Orthopedic Surgery Center, LLC's practice location on file with NPPES is 1760 Old Meadow Rd, Mc Lean, VA 22102-4331.
- What is Mclean Tysons Orthopedic Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mclean Tysons Orthopedic Surgery Center, LLC is (860) 667-9542.
- Does Mclean Tysons Orthopedic Surgery Center, LLC accept Medicare?
- Mclean Tysons Orthopedic Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mclean Tysons Orthopedic Surgery Center, LLC?
- The authorized official listed on Mclean Tysons Orthopedic Surgery Center, LLC's NPPES record is Lucille Formeister, Dir. Bus Systems. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mclean Tysons Orthopedic Surgery Center, LLC's NPI active?
- Yes — Mclean Tysons Orthopedic Surgery Center, LLC's NPI (1942883764) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.