KIRSTEN K EDMISTON M.D.
NPI 1386630507
Surgery in Fairfax, VA

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
8081 INNOVATION PARK DR, FAIRFAX, VA 22031(571) 472-4724(571) 472-0241 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2020, Aug 24, 2020, Dec 18, 2019 (3 updates tracked since 2019).

About Kirsten K Edmiston M.d. NPPES

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

KIRSTEN K EDMISTON M.D. (NPI 1386630507) is an individual surgery provider in Fairfax, Virginia, licensed in Virginia (0101055411) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1386630507
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKIRSTEN K EDMISTONCredential: M.D.
Location Address8081 INNOVATION PARK DRFairfax, VA 22031-4867
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699
Fax(571) 472-0241
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1988
Enumeration DateSeptember 22, 2005
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
NPI 1386630507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in VA · 0101055411
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 0101055411 (VA)
8081 INNOVATION PARK DR, Fairfax, VA 22031

Secondary Practice Location 1

Location 13650 Joseph Siewick Dr Ste 204Fairfax, VA 22033-1712 · Phone (703) 391-4140 · Fax (703) 391-4148

Other Identifiers 1

Medicaid7306521VA

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

Kirsten K Edmiston M.d. 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 ID4880791839
PECOS Enrollment IDI20111031000315
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 5

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.
106 services94 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
23 services23 patients
Placement of locating device in breast using ultrasound guidance, first growth 19285
This procedure involves inserting a small locating device into the breast tissue using ultrasound. The device helps accurately mark the position of the first growth. This aids in precise treatment planning. It's a non-invasive process with minimal discomfort.
19 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

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

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Radiology (Radiation Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Physician Assistant
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Dietitian, Registered
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
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 Kirsten Edmiston's NPI number?

The NPI number for Kirsten Edmiston is 1386630507. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Kirsten Edmiston located?

Kirsten Edmiston practices at 8081 Innovation Park Dr, Fairfax, VA 22031. The listed phone number is (571) 472-4724.

What is Kirsten Edmiston's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kirsten Edmiston enrolled in Medicare?

Yes. Kirsten Edmiston 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 Kirsten Edmiston affiliated with any hospitals?

According to CMS data, Kirsten Edmiston is affiliated with Inova Loudoun Hospital, Inova Fairfax Hospital and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Kirsten Edmiston was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.