Andrew John Itutud Derks, PHYSICIAN ASSISTANT
Physician Assistant · Fairfax, VA
Andrew John Itutud Derks, PHYSICIAN ASSISTANT is a physician assistant with a practice address in Fairfax, Virginia, and NPI 1295218089, issued on Sep 8, 2018. Check the license (Virginia 0110009513, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Andrew John Itutud Derks
- Credential
- PHYSICIAN ASSISTANT
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0110009513 VA
Self-reported in NPPES; status is on the state search - Practice location
- 8260 Willow Oaks Corporate Dr Ste 650, Fairfax, VA 22031
- Phone
- (703) 776-2000
- Enumerated
- Sep 8, 2018
- Record last updated
- Nov 10, 2025
- Medicaid IDs
- 30017944150001 VA
1295218089 VA - Medicare enrollment
- Enrolled (PECOS I20240814002041); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,408 in Virginia → Look up another NPI →
Also registered at 8260 Willow Oaks Corporate Dr Ste 650
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joyce Colobong, NPNurse Practitioner1609026392
- Danyelle Davis, ACNP-BCNurse Practitioner1427324854
- Charles Jackson, FNP-CFamily Nurse Practitioner1871995803
- Tamika Jones, FNP-CFamily Nurse Practitioner1528449550
- Tamara Kaneshiro, PAPhysician Assistant1740762236
- Stephanie Shepard, PAPhysician Assistant1396705174
Verify Andrew John Itutud Derks in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0110009513Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average physician assistant in 2024
34 Medicare Part D claims for 18 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $171.65
6 payments; by number, the most common kind was food and beverage; the largest payer was Jazz Pharmaceuticals Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Inova Health Care ServicesAlexandria, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Andrew John Itutud Derks among 4,408 physician assistant records in Virginia
Andrew John Itutud Derks, PHYSICIAN ASSISTANT is one of 4,408 physician assistant records with a practice address in Virginia. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 49% of them.
- NPI issued2018 · 49% of these records are older, 46% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2018 · median 2018 among the 2,885 with a school on file
- Record last updated2025 · 33% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
151 physician assistant records list a practice address in Fairfax
They are 151 of the 6,584 NPPES records with a practice address in Fairfax, and 4,408 physician assistant records in Virginia.
All 4,408 in Virginia → Every provider in Fairfax → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Michelle Allday, PA-CFairfax, VA 220311346489606
- Ian Dick, PA-CFairfax, VA 220311003042268
- Maggie Ipsaro, PA-CFairfax, VA 220311376509109
- Jessica Leabo, P.A.-CFairfax, VA 220311962681379
- Damon Licari, PAFairfax, VA 220311962495069
- Dianne Liga, RPA-CFairfax, VA 220311487878286
- Sonia Mabout, PA-CFairfax, VA 220311770610289
- Alissa Mills, PA-CFairfax, VA 220311003867003
Common questions
What is Andrew John Itutud Derks, PHYSICIAN ASSISTANT's NPI number?
Andrew John Itutud Derks, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1295218089, issued on Sep 8, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Andrew John Itutud Derks, PHYSICIAN ASSISTANT located?
The NPPES record lists a practice address at 8260 Willow Oaks Corporate Dr Ste 650, Fairfax, VA, 22031. Phone: (703) 776-2000. Providers update this record themselves, so call before visiting.
How can I verify Andrew John Itutud Derks, PHYSICIAN ASSISTANT's license?
NPPES lists Virginia license number 0110009513, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
How much does Andrew John Itutud Derks, PHYSICIAN ASSISTANT prescribe under Medicare Part D?
In 2024, Andrew John Itutud Derks, PHYSICIAN ASSISTANT had 34 Medicare Part D claims for 18 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Andrew John Itutud Derks, PHYSICIAN ASSISTANT's MIPS final score?
The 2023 MIPS final score is 95.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.