Active NPI 1164402368 Individual Practitioner Male Practitioner

Dr. Patrick David Ireland , MD

Neurological Surgery • Winchester, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Ireland, MD is a certified Neurological Surgery practicing in Winchester, VA. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Ireland delivers high-quality medical care to the local community at 1818 AMHERST ST STE 101.

Dr. Ireland is affiliated with Valley Physician Enterprise Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1818 Amherst St Ste 101

Winchester, VA 226012894

Telephone 5404500072

Fax 5404500074

Associated Practice Facility / Clinic

🏢 Valley Physician Enterprise, Inc. Facility NPI 1194387647

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Winchester, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +14.3 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Winchester, VA (198 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ireland (37 Years) 37 Yrs

Winchester Specialty Average (22.7 Years) 22.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	325	219	$250.00	$87.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$460.00	$159.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	59	$156.00	$54.92
63048 Partial removal of spine bone with release of spinal cord and/or nerves	56	38	$561.54	$191.49
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	53	53	$3009.80	$931.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$355.38	$122.60
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	43	38	$706.00	$238.06
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	35	35	$659.00	$238.09
22840 Placement of stabilizing device to back of 1 spine bone in neck	26	26	$2077.00	$695.23
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	22	$2019.91	$687.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$309.00	$108.24
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	20	20	$4359.00	$1461.08
22633 Fusion of spine in lower back with partial removal of spine bone and disc	16	16	$5099.00	$1729.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	166	$234.02	$87.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	113	$428.75	$162.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	64	$329.50	$123.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	58	$142.28	$55.36
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	38	38	$2710.54	$925.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$287.02	$109.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$315.13	$120.91
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	22	$519.07	$202.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$90.68	$48.31
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	19	$639.05	$247.78
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$1843.94	$727.91
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	17	17	$410.21	$248.06
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$1831.70	$694.40
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	14	14	$3864.63	$1514.64
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$2906.15	$754.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$166.53	$72.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	155	$215.87	$90.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	93	$134.51	$56.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	93	$264.67	$112.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	37	$89.98	$38.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	48	$398.92	$167.53
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	34	$583.96	$246.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$315.13	$131.88
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	30	29	$2612.78	$932.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$308.34	$122.77
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	26	26	$261.84	$236.73
22614 Fusion of additional segment of spine	25	11	$694.89	$260.92
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	19	$493.33	$211.25
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	22	$1728.88	$731.50
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$1731.48	$732.90
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	18	18	$3605.47	$1519.14
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	12	12	$33.78	$14.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$464.83	$196.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	223	168	$131.55	$56.81
99213 Established patient office or other outpatient visit, typically 15 minutes	214	161	$212.70	$92.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$393.36	$168.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$263.07	$111.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	35	$89.98	$38.61
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	52	51	$2793.25	$897.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	42	31	$536.14	$206.66
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$171.38	$74.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$316.16	$131.94
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	22	$712.67	$245.01
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	21	21	$2372.35	$810.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$320.16	$136.76
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$2109.82	$708.70
70551 Mri scan of brain without contrast	15	15	$493.66	$72.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$464.83	$201.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	324	206	$89.53	$45.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$327.83	$165.81
99213 Established patient office or other outpatient visit, typically 15 minutes	91	81	$147.60	$75.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	31	$78.73	$39.82
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	37	$2224.27	$1029.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	24	$430.55	$206.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$403.09	$204.58
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	28	27	$75.00	$14.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$274.32	$139.50
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	19	$548.11	$245.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$241.41	$109.34
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$1538.84	$711.04
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$1959.09	$867.91
70551 Mri scan of brain without contrast	11	11	$802.00	$74.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	341	231	$104.68	$44.70
99213 Established patient office or other outpatient visit, typically 15 minutes	163	131	$172.43	$73.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$397.05	$161.23
70551 Mri scan of brain without contrast	146	144	$325.00	$74.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	38	$96.19	$39.31
70553 Mri scan of brain before and after contrast	62	57	$390.00	$115.25
63048 Partial removal of spine bone with release of spinal cord and/or nerves	60	38	$821.65	$216.15
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	54	54	$4522.91	$1043.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$280.61	$108.34
72148 MRI scan of lower spinal canal	48	48	$325.00	$73.23
70549 Mri scan of blood vessels of neck before and after contrast	34	34	$230.00	$90.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$327.28	$136.66
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	25	$761.29	$254.32
70544 Mri scan of blood vessels of head without contrast	26	26	$190.00	$60.16
72141 MRI scan of upper spinal canal	25	24	$325.00	$75.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$168.99	$72.62
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	18	18	$4007.27	$823.63
72158 Mri scan of lower spinal canal before and after contrast	17	17	$410.00	$114.57
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	14	$2621.04	$777.85
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2387.66	$781.90
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	12	11	$4356.35	$1561.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$485.52	$190.51
72146 Mri scan of middle spinal canal	11	11	$325.00	$68.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	345	244	$110.00	$43.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	224	224	$410.00	$161.60
70551 Mri scan of brain without contrast	130	127	$325.00	$74.52
99213 Established patient office or other outpatient visit, typically 15 minutes	130	116	$182.08	$72.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	46	$100.00	$38.78
63048 Partial removal of spine bone with release of spinal cord and/or nerves	56	35	$883.02	$211.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	55	$313.27	$105.49
70553 Mri scan of brain before and after contrast	54	53	$390.00	$113.27
72148 MRI scan of lower spinal canal	47	47	$325.00	$72.91
70549 Mri scan of blood vessels of neck before and after contrast	43	43	$230.00	$88.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	38	38	$4901.32	$1032.28
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	30	$762.35	$236.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$335.76	$133.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$180.00	$71.06
72141 MRI scan of upper spinal canal	29	29	$325.00	$73.70
70544 Mri scan of blood vessels of head without contrast	28	26	$190.00	$59.81
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	21	21	$4465.71	$1487.56
22840 Placement of stabilizing device to back of 1 spine bone in neck	19	19	$2800.00	$750.74
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	19	$5075.00	$876.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$270.00	$107.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$60.00	$21.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$505.00	$201.86
72158 Mri scan of lower spinal canal before and after contrast	13	13	$410.00	$109.81
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2693.69	$724.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	492	340	$110.00	$42.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$410.00	$157.19
70551 Mri scan of brain without contrast	146	146	$325.00	$72.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	115	44	$100.00	$38.76
72148 MRI scan of lower spinal canal	70	70	$325.00	$73.71
70553 Mri scan of brain before and after contrast	67	67	$390.00	$114.32
70549 Mri scan of blood vessels of neck before and after contrast	45	45	$230.00	$89.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$270.00	$102.43
99213 Established patient office or other outpatient visit, typically 15 minutes	39	39	$180.00	$70.91
63048 Partial removal of spine bone with release of spinal cord and/or nerves	39	25	$895.00	$212.74
72141 MRI scan of upper spinal canal	38	38	$325.00	$70.92
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	23	$630.59	$203.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	12	$180.00	$71.35
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	34	34	$4889.71	$917.33
70544 Mri scan of blood vessels of head without contrast	31	31	$190.00	$59.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$341.61	$135.12
72158 Mri scan of lower spinal canal before and after contrast	25	25	$410.00	$114.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$360.00	$142.59
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$2710.06	$726.50
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	17	17	$4018.47	$1339.31
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	17	17	$5373.53	$970.85
72146 Mri scan of middle spinal canal	15	15	$325.00	$71.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$270.00	$106.21
35301 Removal of blood clot and portion of artery of neck	11	11	$3784.55	$1005.62
72156 Mri scan of upper spinal canal before and after contrast	11	11	$410.00	$112.33
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$2423.09	$592.44

Medical Specialties & State Licenses

CMS Verified: 2023-07-26

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License VA 0101052228

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License WV 29588

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1164402368 (VA)

Medicaid State Provider ID

0089131000 (WV)

Commercial Insurance / Payer ID Medicare Rr

P00657222 (VA)

Hospital & Practice Group Affiliations

Valley Physician Enterprise Inc

1840 Amherst St, Winchester, VA 226012808

Phone: 5405368000

Valley Physician Enterprise Inc

1000 N Shenandoah Ave, Front Royal, VA 226303547

Phone: 5406360300

Valley Physician Enterprise Inc

1860 Amherst St, Winchester, VA 226012808

Phone: 5405368000

Valley Physician Enterprise Inc

1880 Amherst St, Winchester, VA 226012808

Valley Physician Enterprise Inc

1830 Amherst St, Winchester, VA 226012808

Phone: 5406671828

Secondary Practice Locations

1840 Amherst St

Winchester, VA 226012808

Phone: 5405368000

120 Campus Dr Ste 221

Martinsburg, WV 254047552

Phone: 6812471280

1 Healthy Way

Berkeley Springs, WV 254117463

Phone: 3042581234

363 Sunrise Blvd

Romney, WV 267574607

Phone: 3048224561

174 Botanical Blvd

Winchester, VA 226033977

Phone: 5405365900

759 S Main St

Woodstock, VA 226641154

Phone: 5404591100

200 Memorial Dr

Luray, VA 228351000

Phone: 5407434561

351 Valley Health Way

Front Royal, VA 226303598

Phone: 5406360300

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. David Salvetti , MD

Neurological Surgery

NPI 1013354786

Doctor of Medicine (M.D.)

Brian Lapp , PA

Physician Assistant

NPI 1043405160

Physician Assistant

Dr. Michael Poss , MD

Pain Medicine - Interventional Pain Medicine

NPI 1053391250

Doctor of Medicine (M.D.)

Jamie Marshall , FNP-BC

Nurse Practitioner - Family

NPI 1063089217

Family Nurse Practitioner (Board Certified)

Dr. Lee Selznick , MD

Neurological Surgery

NPI 1104945997

Doctor of Medicine (M.D.)

Amanda Simmons , NP

Nurse Practitioner

NPI 1114171469

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address July 26, 2023

Registered at 220 CAMPUS BLVD STE 210, WINCHESTER, VA 226012889 (Tel: 5405365100)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2023

Neurological Surgery (License #29588 in WV)

📍

Updated Practice Location April 01, 2021

Registered at 1818 AMHERST ST STE 101, WINCHESTER, VA 226012894 (Tel: 5404500072)

✅

NPI Profile Active February 10, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2009

Registered at 1818 AMHERST ST, WINCHESTER, VA 226012869 (Tel: 5404500072)

📍

Updated Business Mailing Address February 10, 2009

Registered at 1818 AMHERST ST, WINCHESTER, VA 226012869 (Tel: 5404500072)

👤

Provider Name / Credentials Updated February 10, 2009

Recorded as PATRICK IRELAND, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2009

Neurological Surgery (License #0101052228 in VA)

🟢

Initial NPI Registration & Enumeration January 23, 2006

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: 1164402368

Entity Type:

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

Enumeration Date: January 23, 2006

Last Update: July 26, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

220 Campus Blvd Ste 210

Winchester, VA 226012889

Phone: 5405365100

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.