I ADORE Dr Jill de Castro! She is the best, so kind and really gets to know her patients. She is…read morevery straight forward, but I need that in a doctor. I love having her as my PCP.

I had a mixed experience with this practice. The physician herself was attentive and spent time…read morediscussing preventive health, wellness, and screening recommendations during my annual physical. However, I later received an unexpected separate office visit charge in addition to the preventive exam billing. My concern was not the care itself, but the lack of transparency regarding billing. During the wellness visit, the provider briefly reviewed outside lab results I had brought with me, and I was later billed for a separate office visit associated with that discussion. I was not informed during the appointment that this could result in an additional charge. After reviewing my visit documentation, I also felt portions of the note did not fully reflect my understanding of the visit, particularly regarding the extent of evaluation performed beyond the wellness exam. After raising concerns and providing supporting documentation, the office acknowledged overlap between the preventive visit and additional billing and indicated the matter would be reviewed. However, I did not receive a final follow-up or resolution regarding the coding review or reimbursement request. I would encourage the practice to improve communication around preventive visit billing and provide more consistent follow-up during billing disputes.

Excellent doctors, excellent service, 30 years of experience with the practice, courteous and…read morehelpful always.

New patient here (former) How does it take 3 weeks to have…read moresomeone call about lab results? When asked how long the lab results take to come back, the doctor stated, oh, only a few days, I'm just soo busy. To then call, and someone in the office says the doctor is very behind. Then why take new patients? I Called the office and asked how much longer before the doctor was planning to call me about the results, answer? Later this week. Call finally came in today and it wasn't even the doctor! No options, no request for a second visit to discuss. Just straight to the medicine. No thanks. These things are scary for people and to just have disregard because they're too busy? There are plenty of better doctors and practices. If attention to detail from a medical professional is what you are looking for, go elsewhere.

I have no issues at all with Dr. Kaas. I like her, she's incredibly kind and compassionate, and a…read moregood doctor. But for the last three visits, I was taken into a room 15-20 minutes late with no explanation. My appointment should take no more than 15-20 minutes. If I had not left 45 minutes later on my own, I don't know how long I would have sat in that room waiting for the PA. Today I had a 9:15 AM appointment. I waited 20 minutes after my appointment time to be put in a room finally at 9:35 AM, . Once in the room, I waited an additional 15 minutes for the doctor to come in. When Dr. Kaas came in, and she explained she was held up for personal reasons. I then waited for the PA to come in to finish the visit and she did not show up at all. I waited another 20 minutes and I decided to leave. I am 67 years old and have NEVER left a doctor's office in my life. I told the front desk why I left. Five minutes after leaving, I received a phone call from the PA who told me they were short staffed. She invited me to come in today at my convenience to complete the treatment, but I could not. I will not be returning to this practice. This all could have been avoided by a kind explanation at any point in time while I was in the office.

I was seen by Dr. Jay Ryan at this practice back starting in 2025. I went to him for diagnosed foot…read morepain, and he constantly said multiple issues existed. He kept pushing for injections and surgeries. These injections were costly and did not work, and even after understanding that, he kept emphasizing the injections. Finally after refusing the injections multiple times, he suggested multiple surgeries. Dr. Ryan performed one surgery on July 2025, and one again on January 2026. Every time I was seen for debilitating foot pain, he suggested surgery. After each surgery completed, my foot pain got worse and now I can't walk. Dr. Ryan also provided an inaccurate estimate of how long my recovery would be, he did a very intense surgery where a portion of my heel was removed, metal hardware was taken out, and he said I would be able to walk in 2 weeks. Several months later, even after physical therapy, I am unable to walk. I don't think I will ever be able to walk again. After one of my surgeries I was scheduled for a post op with Dr. Ryan, and upon arriving, I was told I could not be seen by him. Dr. Kaas ended up seeing me, and she did not provide a thorough exam of my incisions. She stood on one side of the room where she could not examine my entire foot, and I had multiple stitches on all sides of my feet. Dr. Kaas glanced at me and told me I looked fine. She then denied me any pain medications even though I was told to ask, and I needed them. The front office also is not communicative, and unhelpful. I've had to ask them multiple times to send in pain medication that I needed URGENTLY after my surgery, and they waited days to do so even after they told me they would send it same day. They also refused to prescribe me pain medication, they said a Dr. had to sign off on it but still made me wait - even though Dr. Ryan said he'd send it same day. I feel as though my pain levels were completely disregarded and misdiagnosed at this practice. The front office is also not clear on how the billing works, they never communicated that there would be more than one bill for one surgery, and they also charge a hefty credit card surcharge/processing fee, which I feel is already unfair, and not done at any other practice. Also, for being a medical office that specializes in foot and ankle care, their building is NOT accessible, at all. There are multiple stairs and a steep incline going into the building, no automatic doors at the office. It was extremely hard trying to maneuver an office being disabled and using mobility aids that I brought like a wheelchair, a scooter, a walker, crutches, and a cane. I don't think I will ever be able to walk again after being seen by both Dr. Ryan and Dr. Kaas. Please avoid this office at all costs.

I reserve five stars for truly exceptional experiences, and my visit to Town Center Orthopaedics…read morecertainly earned them. Dr. Messerly and his team were outstanding across the board. My visit was driven by the fact that I had fallen and fractured my big toe. Pros: - Scheduling was a breeze; the representative was knowledgeable and efficient. - The front desk staff was pleasant and made the check-in process smooth. - The medical assistant was professional, efficient, and welcoming. - Dr. Messerly was the highlight of the visit. He was genuinely interested in listening to my concerns and never made me feel dismissed, even though I am not a medical professional. He remained patient and receptive, even when I went a bit off-topic. I had specific concerns regarding potential arthritis related to occasional gout, and he took the time to fully address them. Most importantly, he never made me feel rushed; in an era where medicine often feels like "big business," his dedication to a thorough, unhurried visit was incredibly refreshing. Cons: - The intake process for documenting medications was frustrating. The digital form was not user-friendly, and due to the difficulty of navigating the required app on my phone and the tablet at the office, my medications were not documented correctly.

I saw Dr. Seal about 3-4 weeks ago for lower back, sciatica/piriformis issues that I've had off/on…read morefor 20 years due to running and biking. The medical assistant (I think it was Connor) was super nice and took me back to the examining room to go over the issues I was having. After that I had x-rays and the technician was super nice/efficient. Dr. Seal came in shortly after and we agreed I'd work on core strengthening through physical therapy and if the sciatica/piriformis didn't improve after a month I'd have an MRI. Unfortunately I was unable to get in for physical therapy at the Fairfax office, but Dr. Seal told me I could go anywhere for the physical therapy (didn't have to be with Town Center Ortho). I started core exercises on my own and then found a studio for pilates utilizing a reformer, which I've started over the past couple of weeks and that's been going very well. My experience with Town Center Ortho was very positive, staff was nice and efficient and I did not wait more than 5-10 minutes, after finishing my paperwork, before I was called back. The only negative I'd note and it's very subjective - based on me running on the warmer side - I was in a back corner room that was getting a lot of sunlight that day and it was really warm... I was tempted to open a window lol.

I had a horrible experience with Dr. David Miller. He did not listen to anything I had to say about…read moremy hand, arm or shoulder. He focused on my thumbs that I am aware are arthritic, but not the reason I came in to see him. Nor did he suggest the thumbs are in any way connected to the other issues. I left with no recommended course of action to address my swollen right hand that I am unable to use, and a shoulder so painful I cannot sleep. He did tell me to take turmeric come back and see him in 4 to 6 weeks. Hard no on the return visit. I have made an appointment with another hand, arm, shoulder specialist but am suffering through the time wasted with Dr. Miller. I will never recommend him. He also left me waiting for him in the closed exam room for 30 minutes.

My son injured his hand playing baseball and or original Orthopedist couldn't figure it out after…read morean x-ray and MRI. She suggested going to Dr. Miller and right away he was able to determine that my son broke his Hammate bone. He gave us the option to give it time to let it heal on it's own (which originally sounded like the best option), but then he stated that it will likely break again given that my son plays multiple sports. He then gave the option to have surgery to remove the broken bone. The surgery was quick and easy. His entire staff was wonderful as they took care of my son and all of his concerns. He was healed in 6 weeks and is back to hitting and working out in preparation for his coming Spring basball season. We're thankful that our son was able to find someone so knowledgable and caring to help us through this.

Dr Singh is the most shockingly rude and uncaring doctor I have ever seen. He doesn't greet you…read moreand introduce himself, smile or act concerned about you or your problems. He acts instead like he's either burned out as a doctor or too depressed to care. He seems annoyed if you ask questions and doesn't try to get to know you or your condition. No smiles, no expression, no empathy. After a painful nerve test which he administered, I had to come back in 3 weeks for the results even though the results were ready in a few minutes. At the next appointment he said I had neuropathy but had no idea why. I already knew that. He suggested an obscure blood test which he said wouldn't show anything, then abruptly left the room. End of appointment - no goodbyes, no words at all. What a waste of time and an overall unpleasant experience! Stay away from this man!

My wife was referred by her PCP to Dr Singh for dizziness. Before that she was referred to a spine…read moresurgeon (from an ENT) who was a dismal failure in time he spent and we chose not to take his referral to a neurologist but the PCP who is excellent. Dr Singh and his staff was response and he had both discussions and referrals to various tests to check if there were any underlying issues. Fortunately, none but it was reassuring to hear from him and his colleague on the results. I was impressed that his report was issued that same afternoon. I would definitely recommend him.

Dr Silveri is one of THE most competent, compassionate, and conservative orthropedic surgeons in…read moreNorthern Virginia. He provides the most significant and meaningful care and attention without excessive and costly treatments. I have seen Dr. Silveri four time over past 25 years with positive and enduring results. Highly recommend Dr. Silveri to all those requiring orthropedic care of spine, back and extremities. J Shane David

This asshole almost killed me! He denied my IV fluids and pain meds after only 6 hours after a 3.5…read morehr surgery. Then watched me scream in pain for 24 hours and did nothing. I had reported over and over that I could not Swallow, so he also dehydrated the crap out of me, then blamed me for "not yielding". He then IGNORED the hospital's Dietitian who diagnosed me in late-stage Starvation with muscle wasting and SENT ME HOME ALONE unable to eat or drink while eating my own body to survive! When I desperately tried to stop him from discharging me while unsafe, I was booted out of the building by Hospital Security for being anxious! You'd be anxious too if sent home to starve! For over 40 days I reported 20 TIMES that I was starving and begged to be admitted for a feeding tube and fluids, which HE IGNORED! This idiot sat there and forced me to nearly STARVE TO DEATH! He is the most Grossly Negligent and unscrupulous doctors I have ever seen. He lied in my records about how great I was doing when I looked like a corpse. Then had the hospital FALSIFY ALL MY RECORDS to include defaming me and discrediting me to lessen my ability to sue. He is a lying sack of shit who destroyed my life and is probably too clueless to know it. If you want the most negligent, dishonest asshole surgeon on the planet to do your surgery, go to Dr. Silveri! Just don't expect to survive!

Would give 0 stars if I could…read more First time Medicare visit and they did not offer free first time Medicare consultation and charged me almost $400 to speak to the doctor for 8 minutes. Was not coded correctly and they refused to recode correctly. RIP OFF. This after being a very loyal patient for My advice to oyu salmost 40 years. MY ADVISE TO YOU IS STAY FAR AWAY. AVOID THIS PLACE. AND AVOID IF YOU ARE A SENIOR ON MEDICARE.

I've been going here since before covid. I used to see dr Larson who has since retired. During…read morecovid, they would do video calls. So convenient. I then started seeing Stephanie Richard's because dr Larson was so busy. Now I have begun seeing kelly hernandez because Stephanie is swamped with appointments. This is the only doctors office that you're seen within 5 minutes of arriving. I had an 8:30am appointment, I was out the door by 9:10am.