Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ESTHER PAK
NPI 1255141883
Physician Assistant in Leesburg, VA

Q: What is Esther Pak's NPI number?

The NPI number for Esther Pak is 1255141883. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Q: What is Esther Pak'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 Esther Pak was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 January 07, 2025PECOS Enrolled

19490 SANDRIDGE WAY, SUITE 230, LEESBURG, VA 20176(703) 858-5885(703) 858-5001 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Apr 14, 2026, Jan 7, 2025 (3 updates tracked since 2025).

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About Esther Pak NPPES

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

ESTHER PAK (NPI 1255141883) is an individual physician assistant in Leesburg, Virginia, licensed in Virginia (0110011614) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Leesburg, and is a graduate of Howard University College Of Medicine (2025).

NPPES Registry Identity

NPI1255141883

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameESTHER PAK

Location Address19490 SANDRIDGE WAY, SUITE 230Leesburg, VA 20176-3467

Mailing Address224-d Cornwall Street Nw,, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010

Phone(703) 858-5885

Fax(703) 858-5001

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2025

Enumeration DateJanuary 7, 2025

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1255141883 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 · 0110011614

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.

19490 SANDRIDGE WAY, SUITE 230, Leesburg, VA 20176

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Secondary Practice Location 1

Location 119490 Sandridge Way, Suite 70Leesburg, VA 20176-3472 · Phone (703) 858-5885

Other Identifiers 2

Medicaid1255141883VA

Medicaid30018624800001VA

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

Esther Pak 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 ID7719459494

PECOS Enrollment IDI20260612003779

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.

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 5

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

MRS. KIMBERLY PAIGE JOHNSON AU.D., CCC-A

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