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DANIEL EDGAR
NPI 1164378568
Nurse Practitioner - Family in Herndon, VA

Active since March 09, 2026PECOS EnrolledAccepts Medicare Assignment
12611 FRANKLIN FARM RD, HERNDON, VA 20171(949) 842-3607 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel Edgar NPPES

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

DANIEL EDGAR (NPI 1164378568) is an individual family provider in Herndon, Virginia, licensed in Virginia (0024196624) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1164378568
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL EDGAR
Location Address12611 FRANKLIN FARM RDHerndon, VA 20171-1912
Mailing Address12611 Franklin Farm RdHerndon, VA 20171-1912
Phone(949) 842-3607
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 7, 2026
✔ NPI 1164378568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024196624
12611 FRANKLIN FARM RD, Herndon, VA 20171
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Edgar 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 ID6507334802
PECOS Enrollment IDI20260505003724
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniel Edgar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virginia Internal Medicine Inc
11 mi
Internal Medicine
41816 FENWAY CIR
Ashburn, VA 20148
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 127 clinicians in this Medicare group
NPI 1740525245 (347) 761-7200
Provider Partners Care Management LP
38 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Virginia enrollment
  • 46 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20171 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
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Daniel Edgar's NPI number?

The NPI number for Daniel Edgar is 1164378568. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Daniel Edgar located?

Daniel Edgar practices at 12611 Franklin Farm Rd, Herndon, VA 20171. The listed phone number is (949) 842-3607.

What is Daniel Edgar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Daniel Edgar enrolled in Medicare?

Yes. Daniel Edgar 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.

Which organizations bill Medicare for Daniel Edgar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Edgar reassigns Medicare benefits to 2 organizations: Virginia Internal Medicine Inc (Ashburn, VA) and Provider Partners Care Management LP (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Edgar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Edgar was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.