EDDA WONG (PA) – Physician Assistant, NPI 1568803476

EDDA WONG (PA) is a healthcare provider. based in Reston, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110004294 (VA). The NPI Number for EDDA WONG (PA) is 1568803476

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
EDDA WONG (PA)
NPI
1568803476
Phone
(703) 709-1114
Address
11800 SUNRISE VALLEY DR STE 800
Enumeration Date
9 July 2013
Last Update Date
25 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037091114
Graduation Year
2013 (13 years ago)
PAC ID
5698917763
Group Practice PAC ID
1951396225
Professional Enrollment ID
I20130820000662
Address ID
VA201915300RE11800DRXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for EDDA WONG (PA)

  • 11800 SUNRISE VALLEY DR STE 800

    RESTON, VA 201915320

    Phone: (703) 709-1114

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $6,625.

Total Amount is formed as General ($6,625) + Research ($0) + Ownership ($0) = $6,625.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Alphatec Spine, Inc ($4,391).

Total Amount

$6,625

General + Research + Ownership

Payments

18

Total payment records

General Amount

$6,625

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2013-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130820000662IPhysician AssistantDCTBD

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
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion5231$0
22614Fusion of additional segment of spine4412$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment3616$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment2221$0
22551Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc1616$0
View full utilization report →

Insurance plans in this area (ZIP 20191)

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Provider's Procedures

EDDA WONG (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA20610Aspiration and/or injection of large joint or joint capsule145101
PHYSICIAN ASSISTANTVA27447Repair of knee joint3939
PHYSICIAN ASSISTANTVA73562X-ray of knee, 3 views4741

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: 1951396225View full group profile
NameSpecialtyState
N E U R O L O G YVA
Physician AssistantVA
Physician AssistantVA
Physician AssistantVA
-VA
Physician AssistantNC
Orthopedic SurgeryVA
Pain ManagementVA
-VA
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

What identifier follows EDDA WONG (PA) across health systems?
The NPI 1568803476 uniquely identifies EDDA WONG (PA) in U.S. healthcare data.
Is EDDA WONG (PA)'s NPI status active today?
Active status means EDDA WONG (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits EDDA WONG (PA)?
NPPES ties EDDA WONG (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to EDDA WONG (PA)?
The directory associates EDDA WONG (PA) with Reston, Virginia. Check all listed addresses for suites or satellite offices.
Who maintains EDDA WONG (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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