EDWIN D ENCARNACION PA-C
NPI 1528049806
Physician Assistant in Sterling, VA

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
21475 RIDGETOP CIR, SUITE 150, STERLING, VA 20166(703) 444-5000(703) 444-4999 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2021, Mar 31, 2017 (2 updates tracked since 2017).

About Edwin D Encarnacion Pa-c NPPES

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

EDWIN D ENCARNACION PA-C (NPI 1528049806) is an individual physician assistant in Sterling, Virginia, licensed in Virginia (0110001059) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1528049806
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWIN D ENCARNACIONCredential: PA-C
Location Address21475 RIDGETOP CIR, SUITE 150Sterling, VA 20166-6580
Mailing Address21475 Ridgetop Cir, Ste 150Sterling, VA 20166-6580 · (703) 444-5000 · Fax (703) 444-4999
Fax(703) 444-4999
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 14, 2005
Last NPPES UpdateApril 14, 20212 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
NPI 1528049806 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 · 0110001059
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.

21475 RIDGETOP CIR, Sterling, VA 20166

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

Edwin D Encarnacion 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 ID5698745842
PECOS Enrollment IDI20041103000492
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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
63 services15 patients
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.
57 services46 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
40 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services16 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
27 services20 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20166 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier17 claims17 services$61.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
21475 RIDGETOP CIR, SUITE 150
STERLING, VA 20166
Orthopaedic Surgery
21475 RIDGETOP CIR, STE 150
STERLING, VA 20166
Physical Therapist
21475 RIDGETOP CIR
STERLING, VA 20166
Dentist (General Practice)
21475 RIDGETOP CIR, SUITE 230
STERLING, VA 20166
Physical Therapy Assistant
21475 RIDGETOP CIR, SUITE 100
STERLING, VA 20166
Occupational Therapist (Hand)
21475 RIDGETOP CIR, #340
STERLING, VA 20166
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21475 RIDGETOP CIR, SUITE 350
STERLING, VA 20166
Internal Medicine (Infectious Disease)
21475 RIDGETOP CIR, SUITE 350
STERLING, VA 20166

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 Edwin Encarnacion's NPI number?

The NPI number for Edwin Encarnacion is 1528049806. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Edwin Encarnacion located?

Edwin Encarnacion practices at 21475 Ridgetop Cir Suite 150, Sterling, VA 20166. The listed phone number is (703) 444-5000.

What is Edwin Encarnacion's specialty?

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

Is Edwin Encarnacion enrolled in Medicare?

Yes. Edwin Encarnacion 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 Edwin Encarnacion affiliated with any hospitals?

According to CMS data, Edwin Encarnacion is affiliated with Reston Hospital Center and Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Edwin Encarnacion was last updated on April 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.