Doctor profile · Federal record
Dr. Etsubdenk Ajebo, MD
Dermatology Physician (CMS: Dermatology) · Fairfax, VA
- NPI 1134788532
- Accepts Medicare
- MIPS 88.1 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4211 Fairfax Corner Ave E Ste 225
Fairfax, VA 220308623
(703) 278-2473
fax (703) 239-4857
Credentials & registration
- NPI registered
- June 2019 — 7 yrs on file
- Profile last updated
- February 10, 2026
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- Virginia #0101283681
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134788532. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
105
Distinct HCPCS
6
Medicare allowed
$12,105
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $122 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 22 | $102 | |
11102 |
Biopsy of related skin growth, first growth | 19 | 19 | $107 | |
17000 |
Destruction of precancer skin growth, 1 growth | 12 | 12 | $49 | |
17110 |
Destruction of skin growth, 1-14 growths | 12 | 12 | $134 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $187 |
In context: peer comparison
Among 13 peers in Fairfax Dermatology Physician, average services per provider: 154. This provider delivers 0.7× the peer median.Open Payments
Industry payments received
All-time total
$47
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 2 | $47.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
83
Patients
37
Total drug cost
$8,472
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ketoconazole | Generic | 17 | 12 | $416 |
| Triamcinolone Acetonide | Generic | 16 | 0 | $177 |
| Clobetasol Propionate | Generic | 15 | 12 | $1,022 |
| Hydrocortisone | Generic | 13 | 13 | $187 |
| Calcipotriene | Generic | 11 | 0 | $3,011 |
| Tacrolimus | Generic | 11 | 0 | $3,659 |
Frequently asked questions
What is Dr. Etsubdenk Ajebo's medical specialty?
Dr. Etsubdenk Ajebo practices Dermatology Physician in Fairfax, VA.
Where does Dr. Etsubdenk Ajebo practice?
Dr. Etsubdenk Ajebo practices at 4211 Fairfax Corner Ave E Ste 225, Fairfax, VA 220308623. Office phone: 7032782473.
What is Dr. Etsubdenk Ajebo's NPI?
Dr. Etsubdenk Ajebo's National Provider Identifier (NPI) is 1134788532, issued by NPPES.
Does Dr. Etsubdenk Ajebo accept Medicare assignment?
Yes. Dr. Etsubdenk Ajebo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Etsubdenk Ajebo commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213); Biopsy of related skin growth, first growth (HCPCS 11102). Source: CMS Medicare Physician & Other Practitioners file.