Active NPI 1669636809 Individual Practitioner Female Practitioner

Dr. Caroline Lyle Arthur , MD

Surgery • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Caroline Arthur, MD is a certified Surgery practicing in Fairfax, VA. With approximately 18 years of clinical experience since graduating from Washington University School Of Medicine in 2008, Dr. Arthur delivers high-quality medical care to the local community at 3620 JOSEPH SIEWICK DR.

Dr. Arthur is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3620 Joseph Siewick Dr
Suite 406

Fairfax, VA 220331756

Telephone 7033598640

Fax 7032596324

Associated Practice Facility / Clinic

🏢 Malgorzata Gradzka, M.d., P.c. Facility NPI 1083795496

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fairfax, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -7.4 yrs vs City Avg

City Avg: 25.4 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

45 Specialists

Practicing in Fairfax, VA (909 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arthur (18 Years) 18 Yrs

Fairfax Specialty Average (25.4 Years) 25.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$183.00	$75.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$217.93	$89.93
49650 Repair of groin hernia using an endoscope	17	17	$1808.06	$477.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$297.18	$122.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$186.09	$77.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$208.76	$92.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$282.44	$122.80
49650 Repair of groin hernia using an endoscope	14	14	$1777.46	$526.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$177.81	$93.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	18	$136.38	$66.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$173.24	$78.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$258.48	$126.61
49654 Repair of incisional hernia using an endoscope	11	11	$1928.86	$772.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	26	$136.00	$66.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$256.00	$128.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$149.85	$94.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$161.20	$79.27
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$99.00	$64.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$253.27	$129.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	24	$136.00	$70.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$256.00	$129.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$148.00	$76.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$74.00	$37.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$250.00	$124.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	41	$128.52	$70.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$245.42	$131.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$147.12	$75.97
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$95.28	$49.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$161.94	$72.86
47562 Removal of gallbladder using an endoscope	14	14	$1654.21	$599.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	35	$128.00	$69.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$243.00	$127.32
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$95.00	$48.74
47562 Removal of gallbladder using an endoscope	18	18	$1728.68	$610.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$146.00	$74.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$242.81	$122.74
49568 Placement of mesh to repair incisional or abdominal hernia	13	13	$613.00	$249.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$358.00	$192.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	37	$128.00	$68.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$243.00	$127.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$358.00	$191.75
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$95.00	$48.31
47562 Removal of gallbladder using an endoscope	15	15	$1705.00	$607.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$146.00	$74.58
99238 Hospital discharge day management, 30 minutes or less	11	11	$128.00	$65.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.00	$122.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$153.00	$72.19

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0116020501

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1669636809 (VA)

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

100 E Warm Springs Ave, Boise, ID 837126243

Phone: 2083816930

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. Russell Seneca , MD

Surgery

NPI 1003802208

Doctor of Medicine (M.D.)

Dr. Mohammad Hashim , MD

Surgery

NPI 1033613021

Doctor of Medicine (M.D.)

Danielle Eganhouse , PA-C

Physician Assistant

NPI 1053764811

Physician Assistant (Certified)

Christine Gilloon , RD

Dietitian, Registered

NPI 1073097952

Registered Dietitian

Dr. Paul Savoca , MD

Colon & Rectal Surgery

NPI 1104817857

Doctor of Medicine (M.D.)

Han Nguyen , NP

Nurse Practitioner - Family

NPI 1164938247

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 30, 2013

Registered at 3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 220331756 (Tel: 7033598640)

📍

Updated Business Mailing Address July 30, 2013

Registered at 3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 220331756 (Tel: 7033598640)

👤

Provider Name / Credentials Updated July 30, 2013

Recorded as CAROLINE ARTHUR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2013

Surgery (License #0116020501 in VA)

🟢

Initial NPI Registration & Enumeration July 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669636809

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 16, 2008

Last Update: July 30, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3620 Joseph Siewick Dr, Suite 406

Fairfax, VA 220331756

Phone: 7033598640

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.