Active NPI 1528049806 Individual Practitioner Male Practitioner

Edwin D Encarnacion , PA-C

Physician Assistant • Sterling, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edwin Encarnacion, PA-C is a certified Physician Assistant practicing in Sterling, VA. With approximately 27 years of clinical experience since completing medical education in 1999, Edwin Encarnacion delivers high-quality medical care to the local community at 21475 RIDGETOP CIR.

Edwin Encarnacion maintains professional affiliations with Arthritis And Sports Orthopaedics Pc, Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21475 Ridgetop Cir
Suite 150

Sterling, VA 201666580

Telephone 7034445000

Fax 7034444999

Associated Practice Facility / Clinic

🏢 Hand Therapy Specialists, Inc. Facility NPI 1396939179

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sterling, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +13.7 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

15 Specialists

Practicing in Sterling, VA (4432 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Encarnacion (27 Years) 27 Yrs

Sterling Specialty Average (13.3 Years) 13.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	63	15	$9.00	$0.94
99213 Established patient office or other outpatient visit, typically 15 minutes	57	46	$180.00	$74.64
27447 Replacement of knee joint, both sides of knee	40	39	$7055.10	$189.46
20610 Aspiration and/or injection of fluid from large joint	27	16	$286.81	$56.11
73562 X-ray of knee, 3 views	27	20	$147.00	$33.46
27130 Replacement of thigh bone and hip joint with prosthesis	25	24	$6722.92	$194.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$247.00	$91.62
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$152.00	$31.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	18	$9.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$180.00	$75.34
73562 X-ray of knee, 3 views	33	28	$147.00	$34.24
20610 Aspiration and/or injection of fluid from large joint	27	26	$268.89	$56.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$247.00	$93.26
73030 X-ray of shoulder, minimum of 2 views	19	17	$145.00	$29.16
73502 X-ray of hip, 2-3 views	16	14	$138.00	$39.58
27447 Replacement of knee joint, both sides of knee	16	16	$6968.00	$197.49
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$152.00	$33.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$303.00	$106.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	19	$9.00	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$175.08	$76.54
20610 Aspiration and/or injection of fluid from large joint	47	33	$314.09	$63.10
73562 X-ray of knee, 3 views	37	30	$147.00	$35.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$266.65	$108.99
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$152.00	$34.53
73502 X-ray of hip, 2-3 views	12	12	$138.00	$40.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$248.25	$95.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	182	37	$9.00	$1.30
20610 Aspiration and/or injection of fluid from large joint	99	54	$308.00	$60.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	63	$227.00	$110.84
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	60	19	$277.00	$133.64
73562 X-ray of knee, 3 views	52	41	$147.00	$34.79
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$151.00	$78.11
27447 Replacement of knee joint, both sides of knee	18	17	$7045.44	$207.28
73502 X-ray of hip, 2-3 views	15	13	$138.00	$40.11
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$152.00	$34.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$252.00	$96.01
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$6617.00	$191.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	214	35	$9.00	$1.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	86	$227.00	$92.76
20610 Aspiration and/or injection of fluid from large joint	95	45	$303.14	$57.14
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	57	18	$277.00	$134.52
73562 X-ray of knee, 3 views	39	29	$147.00	$33.26
72100 X-ray of lower and sacral spine, 2-3 views	26	25	$152.00	$32.44
27447 Replacement of knee joint, both sides of knee	24	24	$6968.00	$216.78
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$151.00	$64.04
73502 X-ray of hip, 2-3 views	21	18	$138.00	$38.32
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$6933.23	$206.96
73030 X-ray of shoulder, minimum of 2 views	12	11	$175.00	$28.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$252.00	$91.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	292	49	$9.00	$1.58
20610 Aspiration and/or injection of fluid from large joint	136	61	$307.84	$56.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	91	$227.00	$91.41
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	70	20	$277.00	$226.42
73562 X-ray of knee, 3 views	58	44	$147.00	$31.27
27447 Replacement of knee joint, both sides of knee	30	30	$6968.00	$206.61
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$151.00	$62.51
73502 X-ray of hip, 2-3 views	23	22	$138.00	$36.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$252.00	$91.02
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$6617.00	$212.28
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$152.00	$30.73
72040 X-ray of upper spine, 2-3 views	12	12	$146.00	$30.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	227	41	$9.00	$1.77
20610 Aspiration and/or injection of fluid from large joint	129	47	$262.64	$47.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	68	$227.00	$86.94
99213 Established patient office or other outpatient visit, typically 15 minutes	67	48	$151.00	$59.53
73562 X-ray of knee, 3 views	48	38	$145.21	$28.58
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	43	13	$277.00	$143.67
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	42	14	$277.00	$142.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$252.00	$88.05
73502 X-ray of hip, 2-3 views	18	18	$138.00	$33.66
73030 X-ray of shoulder, minimum of 2 views	15	11	$147.40	$23.90
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$152.00	$28.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	265	50	$9.00	$1.81
20610 Aspiration and/or injection of fluid from large joint	123	61	$239.66	$46.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	72	$224.82	$88.20
73562 X-ray of knee, 3 views	56	47	$145.00	$29.32
J1885 Injection, ketorolac tromethamine, per 15 mg	54	12	$1.00	$0.68
99213 Established patient office or other outpatient visit, typically 15 minutes	51	37	$149.12	$60.03
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	33	13	$275.03	$145.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$249.33	$88.60
73502 X-ray of hip, 2-3 views	24	23	$135.96	$34.00
73030 X-ray of shoulder, minimum of 2 views	23	17	$147.22	$23.79
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$6553.60	$207.77
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$150.86	$28.74
27447 Replacement of knee joint, both sides of knee	14	14	$6802.00	$207.69
27446 Repair of knee joint	14	14	$5054.29	$167.24

Medical Specialties & State Licenses

CMS Verified: 2021-04-14

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110001059

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.

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

7508 Iron Bar Ln, Gainesville, VA 201552999

Phone: 7034906726

Arthritis And Sports Orthopaedics Pc

1850 Town Ctr Pkwy, Reston, VA 201903219

Phone: 7036899000

Select Physical Therapy Holdings Inc

7508 Iron Bar Ln, Gainesville, VA 201552999

Phone: 7034906726

Arthritis And Sports Orthopaedics Pc

21475 Ridgetop Cir, Sterling, VA 201666580

Phone: 7034445000117

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Matthew Griffith , MD

Orthopaedic Surgery - Sports Medicine

NPI 1033280813

Doctor of Medicine (M.D.)

Dr. Randall Peyton , MD

Orthopaedic Surgery

NPI 1053392357

Doctor of Medicine (M.D.)

Jacob Trumbull , PA-C

Physician Assistant

NPI 1093335697

Physician Assistant (Certified)

Alexis Williams , MSPA-C

Physician Assistant

NPI 1285906388

MSPAC

Dr. Sriya Babu , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1497384697

Doctor of Podiatric Medicine

Dr. Lynnford Wilson , MD

Orthopaedic Surgery

NPI 1588645865

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2017

Registered at 21475 RIDGETOP CIR, SUITE 150, STERLING, VA 201666580 (Tel: 7034445000)

📍

Updated Business Mailing Address March 31, 2017

Registered at 21475 RIDGETOP CIR, STE 150, STERLING, VA 201666580 (Tel: 7034445000)

👤

Provider Name / Credentials Updated March 31, 2017

Recorded as EDWIN ENCARNACION, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Physician Assistant (License #0110001059 in VA)

✅

NPI Profile Active December 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2009

Registered at 21475 RIDGETOP CIR, SUITE 150, STERLING, VA 201666580 (Tel: 7034445000)

📍

Updated Business Mailing Address December 02, 2009

Registered at 21475 RIDGETOP CIR, STE 150, STERLING, VA 201666580 (Tel: 7034445000)

👤

Provider Name / Credentials Updated December 02, 2009

Recorded as EDWIN ENCARNACION, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2009

Physician Assistant (License #0110001059 in VA)

🟢

Initial NPI Registration & Enumeration November 14, 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: 1528049806

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 14, 2005

Last Update: April 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21475 Ridgetop Cir, Ste 150

Sterling, VA 201666580

Phone: 7034445000

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.