1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Physician Assistant
  6. NPI Profile

DAMON J LICARI PA
NPI 1962495069
Physician Assistant in Fairfax, VA

Active since August 24, 2005PECOS Enrolled
81.28/100
CMS Quality Rating
8081 INNOVATION PARK DR STE 602, FAIRFAX, VA 22031(571) 472-3270(571) 472-3271 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Jul 17, 2019 (2 updates tracked since 2019).

About Damon J Licari Pa NPPES

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

DAMON J LICARI PA (NPI 1962495069) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110001250) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962495069
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAMON J LICARICredential: PA
Location Address8081 INNOVATION PARK DR STE 602Fairfax, VA 22031-4867
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Phone(571) 472-3270
Fax(571) 472-3271
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateMarch 15, 20222 updates tracked since enumeration
NPPES CertifiedMarch 15, 2022
✔ NPI 1962495069 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 · 0110001250
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.
8081 INNOVATION PARK DR STE 602, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13020 Hamaker Ct Ste 101Fairfax, VA 22031-2233 · Phone (703) 289-9400 · Fax (703) 289-9404
Location 23300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-4001 · Fax (703) 776-7113

Other Identifiers 1

MedicaidGP0624SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Damon J Licari Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 8

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

BRETT D. ATWATER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270
ZACHARY T HOLLIS M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270
DR. EUNICE YANG MD
Internal Medicine (Cardiovascular Disease)
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270
DR. STEPHEN ANDREW GAETA M.D., PH.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270
COURTNEY JOHNS CHANNELS
Nurse Practitioner (Adult Health)
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270
DR. ELIZABETH PAVER HELD M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270
STANLEY ADAM STRICKBERGER MD
Internal Medicine
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270
JAMES KEITH SULLIVAN FNP
Nurse Practitioner (Family)
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031
Fairfax County (571) 472-3270

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 Damon Licari's NPI number?

The NPI number for Damon Licari is 1962495069. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Damon Licari located?

Damon Licari practices at 8081 Innovation Park Dr Ste 602, Fairfax, VA 22031. The listed phone number is (571) 472-3270.

What is Damon Licari's specialty?

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

Is Damon Licari enrolled in Medicare?

Yes. Damon Licari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Damon Licari was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.