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Active NPI 1962495069 Individual Practitioner Male Practitioner

Damon J Licari , PA

Physician Assistant • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Damon Licari, PA is a registered healthcare professional specializing in Physician Assistant in Fairfax, VA. Practice services are available at 8081 INNOVATION PARK DR STE 602 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, programming of dual lead pacemaker system, evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8081 Innovation Park Dr Ste 602

Fairfax, VA 220314867

Telephone 5714723270
Fax 5714723271
Associated Practice Facility / Clinic
🏢 Inova Health Care Services Facility NPI 1952320061

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
151 Specialists

Practicing in Fairfax, VA (4432 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
17 17 $188.00 $90.04
93280 Programming of dual lead pacemaker system
11 11 $211.50 $84.42

Medical Specialties & State Licenses

CMS Verified: 2022-03-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110001250

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
GP0624 (SC)

Secondary Practice Locations

3020 Hamaker Ct Ste 101

Fairfax, VA 220312233

Phone: 7032899400

3300 Gallows Rd

Falls Church, VA 220423307

Phone: 7037764001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Brett Atwater , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1053376194

Doctor of Medicine (M.D.)

Dr. Zachary Hollis , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1104142744

Doctor of Medicine (M.D.)

Dr. Eunice Yang , MD

Internal Medicine - Cardiovascular Disease

NPI 1114221942

Doctor of Medicine (M.D.)

Dr. Stephen Gaeta , MD, PhD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1265731491

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Courtney Channels

Nurse Practitioner - Adult Health

NPI 1396100251
Dr. Elizabeth Held , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1457770919

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 15, 2022

Registered at 8081 INNOVATION PARK DR STE 602, FAIRFAX, VA 220314867 (Tel: 5714723270)

📍
Updated Practice Location July 17, 2019

Registered at 3020 HAMAKER CT STE 101, FAIRFAX, VA 220312233 (Tel: 7032899400)

📍
Updated Business Mailing Address July 17, 2019

Registered at PO BOX 37174, BALTIMORE, MD 212973174 (Tel: 5714235699)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Physician Assistant (License #0110001250 in VA)

NPI Profile Active January 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2011

Registered at 171 ASHLEY AVE, CHARLESTON, SC 294258908 (Tel: 8437921414)

📍
Updated Business Mailing Address January 24, 2011

Registered at PO BOX 751461, CHARLOTTE, NC 282751461 (Tel: 8437926200)

👤
Provider Name / Credentials Updated January 24, 2011

Recorded as DAMON LICARI, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2011

Physician Assistant (License #1013 in SC)

🟢
Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962495069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2005
Last Update: March 15, 2022
Sole Proprietor: No

Mailing Address

Po Box 37174

Baltimore, MD 212973174

Phone: 5714235699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.