MRS. STACY LAUREN LEDERMAN NIEDERMAN PA-C
NPI 1205234069
Physician Assistant in Falls Church, VA

Q: What is Stacy Niederman's NPI number?

The NPI number for Stacy Niederman is 1205234069. It was assigned to this individual provider in the NPPES registry on December 10, 2014. The provider is also known as Miss Stacy Lauren Lederman Pa-C.

Q: What is Stacy Niederman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Niederman was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 10, 2014PECOS EnrolledAccepts Medicare Assignment

81.28/100

CMS Quality Rating

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-8682 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Nov 8, 2016, Dec 15, 2015 (3 updates tracked since 2015).

On this page

About Mrs. Stacy Lauren Lederman Niederman Pa-c NPPES

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

MRS. STACY LAUREN LEDERMAN NIEDERMAN PA-C (NPI 1205234069) is an individual physician assistant in Falls Church, Virginia, licensed in Virginia (0110-004804) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1205234069

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. STACY LAUREN LEDERMAN NIEDERMANCredential: PA-C

Location Address3300 GALLOWS RDFalls Church, VA 22042-3307

Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698

Phone(703) 776-8682

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 10, 2014

Last NPPES UpdateMarch 23, 20223 updates tracked since enumeration

NPPES CertifiedMarch 23, 2022

✔ NPI 1205234069 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 · 0110-004804

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.

3300 GALLOWS RD, Falls Church, VA 22042

Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Stacy Lauren Lederman Pa-c

Secondary Practice Location 1

Location 18501 Arlington Blvd Ste 200Fairfax, VA 22031-4625 · Phone (571) 472-6464 · Fax (703) 970-6465

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

Mrs. Stacy Lauren Lederman Niederman Pa-c 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 ID9133486160

PECOS Enrollment IDI20171130000115, I20171218003108

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reston Hospital Center

Acute Care Hospitals · Reston, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490107

Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.77

Promoting Interoperability

100

Improvement Activities

Cost

66.84

Other Providers at the Same Location NPPES 20

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

ALLISON ELIZABETH TWEEDIE MD

Psychiatry & Neurology (Psychiatry)