CMS-1500 Box 24J / 33a • NPI
1568488799
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
2800 S SHIRLINGTON RD STE 1100, ARLINGTON, VA, 22206-3605
✓ 9-Digit EDI 837 ZIP+4 (22206-3605)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1568488799 (ANDERSON CLINIC LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1568488799 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ANDERSON CLINIC LLC |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207X00000X (Orthopaedic Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 2800 S SHIRLINGTON RD STE 1100, ARLINGTON, VA, 22206-3605 |
| Practice Telephone / Fax | Tel: (703) 892-6500 | Fax: (703) 521-3415 |
| Administrative Mailing Address | 2800 S SHIRLINGTON RD STE 1100, ARLINGTON, VA, 22206-3605 |
| Enumeration & Last Sync | Enumerated: 2006-07-14 | CMS Record Updated: 2026-06-29 |
| Authorized Official | BETSY CHAPPELL (Administrator) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207X00000X)
What Does Taxonomy Code 207X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANDERSON CLINIC LLC)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Secondary |
207XX0004X — Orthopaedic Surgery, Foot and Ankle SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
261Q00000X — Clinic/CenterPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
207XX0005X — Orthopaedic Surgery, Sports MedicinePlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Secondary |
207QS0010X — Family Medicine, Sports MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
2251X0800X — Physical Therapist, OrthopedicPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic | State: N/A | License: Verified | Primary: Secondary |
207XS0114X — Orthopaedic Surgery, Adult Reconstructive Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
208VP0014X — Pain Medicine, Interventional Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine | State: N/A | License: Verified | Primary: Secondary |
207LP2900X — Anesthesiology, Pain MedicinePlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: N/A | License: Verified | Primary: Secondary |
332900000X — Non-Pharmacy Dispensing SitePlain English: Licensed & Credentialed Non-Pharmacy Dispensing Site | State: N/A | License: Verified | Primary: Secondary |
207XS0117X — Orthopaedic Surgery, Orthopaedic Surgery of the SpinePlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
207XS0106X — Orthopaedic Surgery, Hand SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Yes (Primary) |
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