KIRSTEN K EDMISTON (M.D.) – Surgery Physician, NPI 1386630507
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
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Provider Addresses for KIRSTEN K EDMISTON (M.D.)
Innovation Park Drive, Annandale, Fairfax County, Virginia, 22037, United States
FAIRFAX, VA 220314867
Phone: (571) 472-4724
Fax: (571) 472-0241
Type: Location
3650 Joseph Siewick Dr Ste 204
Fairfax, VA 220331712
Phone: (703) 391-4140
Fax: (703) 391-4148
Type: Location
PO BOX 37174
BALTIMORE, MD 212973174
Phone: (571) 423-5699
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Solventum Corporation ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $22 |
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: 2011-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070525000408 | I | General Surgery | VA | TBD |
| I20111031000315 | I | Surgical Oncology | DC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 100 | $0 |
| 19301 | Partial removal of breast | 56 | 52 | $0 |
| 19285 | Placement of locating device in breast using ultrasound guidance, first growth | 51 | 51 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 46 | 46 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 24 | 24 | $0 |
Insurance plans in this area (ZIP 22031)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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