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STEPHANIE PETRUZZO
NPI 1093370348
Physician Assistant in Leesburg, VA

Active since May 02, 2019PECOS Enrolled
19450 DEERFIELD AVENUE, SUITE 325, LEESBURG, VA 20176(571) 252-8119(800) 735-1643 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Nov 29, 2022, Apr 17, 2022 and 1 more (4 updates tracked since 2019).

About Stephanie Petruzzo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE PETRUZZO (NPI 1093370348) is an individual physician assistant in Leesburg, Virginia, licensed in Virginia (0110-007018) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Great Falls.

NPPES Registry Identity

NPI1093370348
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE PETRUZZO
Location Address19450 DEERFIELD AVENUE, SUITE 325Leesburg, VA 20176-8503
Mailing Address224-d Cornwall St., Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(571) 252-8119
Fax(800) 735-1643
Sole ProprietorYes
Enumeration DateMay 2, 2019
Last NPPES UpdateMarch 7, 20244 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1093370348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110-007018
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
19450 DEERFIELD AVENUE, SUITE 325, Leesburg, VA 20176
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Secondary Practice Location 1

Location 110888 Woodleaf LnGreat Falls, VA 22066-3004 · Phone (703) 463-6023

Other Identifiers 2

Medicaid30016029480002VA
Medicaid1093370348VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Petruzzo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YASER CHEEMA MD
Internal Medicine (Interventional Cardiology)
19450 DEERFIELD AVENUE, SUITE 325
LEESBURG, VA 20176
Loudoun County (703) 202-1111
MARIANNE ELISE CROWLEY FNP-BC
Nurse Practitioner
19450 DEERFIELD AVENUE, SUITE 325
LEESBURG, VA 20176
Loudoun County (703) 202-1111
LOUDOUN MEDICAL GROUP, PC
Internal Medicine (Interventional Cardiology)
19450 DEERFIELD AVENUE, SUITE 325
LEESBURG, VA 20176
Loudoun County (703) 202-1111
NICOLE M ROYER PA
Physician Assistant
19450 DEERFIELD AVENUE, SUITE 325
LEESBURG, VA 20176
Loudoun County (571) 252-8119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Petruzzo's NPI number?

The NPI number for Stephanie Petruzzo is 1093370348. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Stephanie Petruzzo located?

Stephanie Petruzzo practices at 19450 Deerfield Avenue, Suite 325, Leesburg, VA 20176. The listed phone number is (571) 252-8119.

What is Stephanie Petruzzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephanie Petruzzo enrolled in Medicare?

Yes. Stephanie Petruzzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Petruzzo was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.