ANDREW AXELRAD (M.D.) – Gastroenterology Physician, NPI 1073579876

ANDREW AXELRAD (M.D.) is a healthcare provider. based in Reston, Virginia. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 472345 (VA). The NPI Number for ANDREW AXELRAD (M.D.) is 1073579876

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW AXELRAD (M.D.)
NPI
1073579876
Phone
(703) 435-3366
Address
1939 ROLAND CLARKE PL
Enumeration Date
21 April 2006
Last Update Date
9 March 2020

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7036988960
Graduation Year
1989 (37 years ago)
PAC ID
2567563570
Group Practice PAC ID
1759371008
Professional Enrollment ID
I20110520000688
Address ID
VA220314600FA3022XDRXX313
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

540 GASTROENTEROLOGY in VA

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Provider Addresses for ANDREW AXELRAD (M.D.)

  • 1939, Roland Clarke Place, Sunset Hills, Reston, Fairfax County, Virginia, 20191, United States

    STE 200

    RESTON, VA 201911445

    Phone: (703) 435-3366

    Fax: (703) 435-8022

    Type: Mailing

  • 11440, Commerce Park Drive, Reston Station, Reston, Fairfax County, Virginia, 20191, United States

    LL4

    RESTON, VA 201911555

    Phone: (703) 766-2650

    Fax: (703) 766-2654

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 127 Open Payments records for all available years, with a total value of $3,234.

Total Amount is formed as General ($3,234) + Research ($0) + Ownership ($0) = $3,234.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boston Scientific Corporation ($950).

Total Amount

$3,234

General + Research + Ownership

Payments

127

Total payment records

General Amount

$3,234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110520000688IGastroenterologyDCTBD
I20210726000876IGastroenterologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3380Injection, vedolizumab, 1 mg8,40013$0
99214Established patient office or other outpatient visit, 30-39 minutes160141$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9190$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8383$0
45380Biopsy of large bowel using a flexible endoscope7676$0
View full utilization report →

Insurance plans in this area (ZIP 20191)

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Provider's Procedures

ANDREW AXELRAD (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYVA45385Removal of polyps or growths of large bowel using an endoscope5756

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759371008View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyVA
Gastroenterology, Internal MedicinePA
Interventional RadiologyMA
-VA
Nurse PractitionerVA
Interventional RadiologyDC
Nurse PractitionerVA
G A S T R O E N T E R O L O G YVA
Physician AssistantNJ
Physician AssistantWV

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREW AXELRAD (M.D.)?
ANDREW AXELRAD (M.D.) — NPI 1073579876 — is the standard way to identify this listing.
Does the file indicate ANDREW AXELRAD (M.D.) is practicing under active NPI?
Directory data currently reports ANDREW AXELRAD (M.D.) as active.
What is ANDREW AXELRAD (M.D.)'s specialty?
The listing groups ANDREW AXELRAD (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does ANDREW AXELRAD (M.D.) list a practice location?
Patients near Reston, Virginia may find ANDREW AXELRAD (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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