ANDREW JOHN ITUTUD DERKS PHYSICIAN ASSISTANT
NPI 1295218089
Physician Assistant in Fairfax, VA

Active since September 08, 2018PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
8260 WILLOW OAKS CORPORATE DR STE 650, FAIRFAX, VA 22031(703) 776-2000 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Sep 4, 2024, Jul 25, 2024 and 3 more (6 updates tracked since 2018).

About Andrew John Itutud Derks Physician Assistant NPPES

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

ANDREW JOHN ITUTUD DERKS PHYSICIAN ASSISTANT (NPI 1295218089) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110009513) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295218089
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW JOHN ITUTUD DERKSCredential: PHYSICIAN ASSISTANT
Location Address8260 WILLOW OAKS CORPORATE DR STE 650Fairfax, VA 22031-4531
Mailing Address8260 Willow Oaks Corporate Dr Ste 650Fairfax, VA 22031-4531
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 8, 2018
Last NPPES UpdateNovember 10, 20256 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1295218089 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 · 0110009513
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.

8260 WILLOW OAKS CORPORATE DR STE 650, Fairfax, VA 22031

Other Identifiers 2

Medicaid30017944150001VA
Medicaid1295218089VA

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

Andrew John Itutud Derks 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 ID244584688
PECOS Enrollment IDI20240814002041
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 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.
86 services84 patients
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.
64 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner (Family)
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031
Nurse Practitioner (Family)
8260 WILLOW OAKS CORPORATE DR STE 650
FAIRFAX, VA 22031

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 Andrew John Derks's NPI number?

The NPI number for Andrew John Derks is 1295218089. It was assigned to this individual provider in the NPPES registry on September 8, 2018.

Where is Andrew John Derks located?

Andrew John Derks practices at 8260 Willow Oaks Corporate Dr Ste 650, Fairfax, VA 22031. The listed phone number is (703) 776-2000.

What is Andrew John Derks's specialty?

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

Is Andrew John Derks enrolled in Medicare?

Yes. Andrew John Derks 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.

Is Andrew John Derks affiliated with any hospitals?

According to CMS data, Andrew John Derks is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Andrew John Derks was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.