Edwin Encarnacion, PA-C
NPI 1528049806 · Physician Assistant · Sterling, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edwin Encarnacion, PA-C is a Physician Assistant provider in Sterling, VA (NPI 1528049806).
Provider details
- NPI number
- 1528049806
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0110001059 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
211 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $75 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 40 | $189 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 27 | $56 |
| X-Ray of Knee, 3 Views73562 | 27 | $33 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 25 | $194 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 128 | 98 |
| Tramadol Hcl | 60 | 47 |
| Celecoxib | 51 | 26 |
| Oxycodone Hcl | 40 | 34 |
| Meloxicam | 34 | 17 |
| Clindamycin Hcl | 33 | 26 |
| Gabapentin | 25 | 16 |
| Duloxetine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$172 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-14
- Last updated
- 2021-04-14
- Certified
- 2021-04-14
Frequently asked questions
- What is Edwin Encarnacion's NPI number?
- Edwin Encarnacion's National Provider Identifier (NPI) is 1528049806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edwin Encarnacion's specialty?
- Edwin Encarnacion is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Edwin Encarnacion located?
- Edwin Encarnacion's practice location on file with NPPES is 21475 Ridgetop Cir, Sterling, VA 20166-6580.
- What is Edwin Encarnacion's phone number?
- The practice phone number listed in the NPPES registry for Edwin Encarnacion is (703) 444-5000.
- Does Edwin Encarnacion accept Medicare?
- Edwin Encarnacion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edwin Encarnacion's NPI active?
- Yes — Edwin Encarnacion's NPI (1528049806) is active in the NPPES registry as of the last update on 2021-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.