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ALYSSA PAIK PHYSICIAN ASSISTANT
NPI 1104374586
Physician Assistant in Chantilly, VA

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
3456 HISTORIC SULLY WAY, CHANTILLY, VA 20151(034) 353-8387 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2017, Sep 14, 2016 (2 updates tracked since 2016).

About Alyssa Paik Physician Assistant NPPES

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

ALYSSA PAIK PHYSICIAN ASSISTANT (NPI 1104374586) is an individual physician assistant in Chantilly, Virginia, licensed in Virginia (0110005840) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104374586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA PAIKCredential: PHYSICIAN ASSISTANT
Location Address3456 HISTORIC SULLY WAYChantilly, VA 20151-3046
Mailing Address520 Main StNew York, NY 10044-0032
Phone(034) 353-8387
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 14, 2016
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1104374586 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 · 0110005840
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.
3456 HISTORIC SULLY WAY, Chantilly, VA 20151
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Paik Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456617760
PECOS Enrollment IDI20171101003483, I20171206000111
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 3

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.
36 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20151 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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

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

BEZAWIT ABEBE
Nurse Practitioner (Family)
3456 HISTORIC SULLY WAY
CHANTILLY, VA 20151
Fairfax County (703) 435-3838

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 Alyssa Paik's NPI number?

The NPI number for Alyssa Paik is 1104374586. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Alyssa Paik located?

Alyssa Paik practices at 3456 Historic Sully Way, Chantilly, VA 20151. The listed phone number is (034) 353-8387.

What is Alyssa Paik's specialty?

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

Is Alyssa Paik enrolled in Medicare?

Yes. Alyssa Paik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyssa Paik was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.