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Active NPI 1770213670 Individual Practitioner Female Practitioner

Abigail Park Lee Shaw , PA-C

Physician Assistant • Vienna, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Abigail Shaw, PA-C is a certified Physician Assistant practicing in Vienna, VA. With approximately 4 years of clinical experience since graduating from George Washington University School Of Medicine in 2022, Abigail Shaw delivers high-quality medical care to the local community at 8301 OLD COURTHOUSE RD.

Abigail Shaw maintains professional affiliations with Forefront Dermatology Sc, Advanced Dermatology Of Virginia Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8301 Old Courthouse Rd

Vienna, VA 221823804

Telephone 7034420300
Fax 7034420337
Associated Practice Facility / Clinic
🏢 Forefront Dermatology, S.c. Facility NPI 1891169975

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vienna, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Vienna, VA (4432 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (4 Years) 4 Yrs
Vienna Specialty Average (10.6 Years) 10.6 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
17003 Destruction of precancer skin growth, 2-14 growths
114 24 $25.00 $6.50
17000 Destruction of skin growth
37 34 $245.00 $43.31
99213 Established patient office or other outpatient visit, typically 15 minutes
31 29 $318.00 $85.69
17110 Destruction of up to 14 skin growths
21 17 $420.00 $92.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $393.00 $105.22

Medical Specialties & State Licenses

CMS Verified: 2026-04-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110008855

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

Forefront Dermatology Sc

8301 Old Courthouse Rd, Vienna, VA 221823804

Phone: 7034420300

Advanced Dermatology Of Virginia Inc

3700 Joseph Siewick Dr, Fairfax, VA 220331739

Phone: 7036482488

Secondary Practice Locations

3700 Joseph Siewick Dr

Fairfax, VA 220331744

Phone: 7036482488

1140 Connecticut Ave Nw Ste 675

Washington, DC 200364022

Phone: 2027376800

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1386170769

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

NPI 1629233937

Doctor of Medicine (M.D.)

NPI 1699867879

Doctor of Medicine (M.D.)

Katherine Wagner , PA-C

Physician Assistant

NPI 1972345072

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 17, 2026

Registered at 8301 OLD COURTHOUSE RD, VIENNA, VA 221823804 (Tel: 7034420300)

📍
Updated Business Mailing Address April 17, 2026

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2025

Physician Assistant (License #0110008855 in VA)

📍
Updated Practice Location June 12, 2025

Registered at 3700 JOSEPH SIEWICK DR, FAIRFAX, VA 220331744 (Tel: 7036482488)

📍
Updated Business Mailing Address June 12, 2025

Registered at 151 SOUTHHALL LN STE 300, MAITLAND, FL 327517172 (Tel: 3365804130)

👤
Provider Name / Credentials Updated June 12, 2025

Recorded as ABIGAIL SHAW, PA-C

NPI Profile Active June 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2022

Registered at 1140 CONNECTICUT AVE NW STE 675, WASHINGTON, DC 200364022 (Tel: 2027376800)

📍
Updated Business Mailing Address June 14, 2022

Registered at 4405 FAIR STONE DR APT 302, FAIRFAX, VA 220335163 (Tel: 3365804130)

👤
Provider Name / Credentials Updated June 14, 2022

Recorded as ABIGAIL LEE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 14, 2022

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: 1770213670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2022
Last Update: April 17, 2026
Sole Proprietor: No

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.