EDMOND LAURENT PAQUETTE MD
NPI 1851356034
Urology in Fairfax, VA

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
8503 ARLINGTON BLVD, SUITE 310, FAIRFAX, VA 22031(703) 208-4200(703) 876-1799 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edmond Laurent Paquette Md NPPES

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

EDMOND LAURENT PAQUETTE MD (NPI 1851356034) is an individual urology provider in Fairfax, Virginia, licensed in Rhode Island (MD09096) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1994).

NPPES Registry Identity

NPI1851356034
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameEDMOND LAURENT PAQUETTECredential: MD
Location Address8503 ARLINGTON BLVD, SUITE 310Fairfax, VA 22031-4628
Mailing Address8503 Arlington Blvd, Suite 310Fairfax, VA 22031-4628 · (703) 208-4200 · Fax (703) 876-1799
Fax(703) 876-1799
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1994
Enumeration DateApril 19, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 16, 2020
NPI 1851356034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in RI · MD09096
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
8503 ARLINGTON BLVD, Fairfax, VA 22031

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

Edmond Laurent Paquette Md 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 ID4587758313
PECOS Enrollment IDI20200812002803
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 24

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 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.
646 services497 patients
Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
485 services11 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
228 services192 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
145 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
106 services106 patients

Hospital Affiliations CMS Care Compare 5

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

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

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
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

Referred Medical Equipment & Supplies CMS DME claims 7

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers26 claims1,613 services$0.10 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier12 claims20 services$11.85 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers94 claims16,080 services$1.55 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers24 claims1,338 services$4.60 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers19 claims39 services$8.28 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers13 claims40 services$6.41 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.

Specialist
8503 ARLINGTON BLVD, SUITE 130
FAIRFAX, VA 22031
Physician Assistant (Medical)
8503 ARLINGTON BLVD, SUITE 310
FAIRFAX, VA 22031
Specialist
8503 ARLINGTON BLVD, SUITE LL100
FAIRFAX, VA 22031
Clinical Medical Laboratory
8503 ARLINGTON BLVD, SUITE 310 A
FAIRFAX, VA 22031
Nurse Practitioner (Adult Health)
8503 ARLINGTON BLVD, #120
FAIRFAX, VA 22031
Nurse Practitioner (Adult Health)
8503 ARLINGTON BLVD, SUITE 400
FAIRFAX, VA 22031
Specialist
8503 ARLINGTON BLVD, STE LL100
FAIRFAX, VA 22031
Urology
8503 ARLINGTON BLVD, #310
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 Edmond Paquette's NPI number?

The NPI number for Edmond Paquette is 1851356034. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Edmond Paquette located?

Edmond Paquette practices at 8503 Arlington Blvd Suite 310, Fairfax, VA 22031. The listed phone number is (703) 208-4200.

What is Edmond Paquette's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Edmond Paquette enrolled in Medicare?

Yes. Edmond Paquette 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 Edmond Paquette affiliated with any hospitals?

According to CMS data, Edmond Paquette is affiliated with Inova Alexandria Hospital, Inova Loudoun Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Edmond Paquette was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.