BOBBY LEWIS COCKRAM JR. PA
NPI 1689601320
Physician Assistant in Falls Church, VA

Q: What is Bobby Cockram's NPI number?

The NPI number for Bobby Cockram is 1689601320. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Bobby Cockram'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 Bobby Cockram was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 27, 2006PECOS EnrolledAccepts Medicare Assignment

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2020, Aug 31, 2020, May 9, 2018 (3 updates tracked since 2018).

On this page

About Bobby Lewis Cockram Jr. Pa NPPES

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

BOBBY LEWIS COCKRAM JR. PA (NPI 1689601320) is an individual physician assistant in Falls Church, Virginia, licensed in Virginia (0110001402) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1689601320

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBOBBY LEWIS COCKRAM JR.Credential: PA

Location Address3300 GALLOWS RDFalls Church, VA 22042-3300

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

Phone(703) 776-4001

Fax(703) 776-7113

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 27, 2006

Last NPPES UpdateSeptember 22, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1689601320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110001402

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110001402 (VA)

3300 GALLOWS RD, Falls Church, VA 22042

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11802 Braeburn Dr, Suite 1310Salem, VA 24153-7357 · Phone (540) 776-2020 · Fax (540) 776-2017

Location 23300 Gallows Rd Dept OfFalls Church, VA 22042-3307 · Phone (703) 776-3582

Location 32501 Parkers LnAlexandria, VA 22306-3209 · Phone (703) 664-7000 · Fax (703) 664-7666

Location 444045 Riverside PkwyLeesburg, VA 20176-5101 · Phone (703) 858-6000 · Fax (703) 858-6900

Location 54320 Seminary RdAlexandria, VA 22304-1535 · Phone (703) 504-3000 · Fax (703) 504-3388

Other Identifiers 4

OtherP00679650VA · Medicare Railroad

OtherP00453916VA · Railroad Medicare

Medicaid010392055VA

Medicaid1689601320VA

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

Bobby Lewis Cockram Jr. Pa 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 ID9234124686

PECOS Enrollment IDI20130521000665

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.

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 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.

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)