1. Home
  2. Directory
  3. California
  4. Santa Cruz
  5. Internal Medicine
  6. NPI Profile

DR. ANDREA GAYE EDWARDS MD
NPI 1255341962
Internal Medicine - Medical Oncology in Santa Cruz, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
1663 DOMINICAN WAY STE 210, SUITE 210, SANTA CRUZ, CA 95065(831) 475-8002(831) 475-8580 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andrea Gaye Edwards Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA GAYE EDWARDS MD (NPI 1255341962) is an individual medical oncology provider in Santa Cruz, California, licensed in California (A83742) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mountain Home, and is a graduate of Yale University School Of Medicine (1997).

NPPES Registry Identity

NPI1255341962
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. ANDREA GAYE EDWARDSCredential: MD
Location Address1663 DOMINICAN WAY STE 210, SUITE 210Santa Cruz, CA 95065-1556
Mailing Address1663 Dominican Way Ste 210Santa Cruz, CA 95065-1556 · (831) 475-8002 · Fax (831) 475-8580
Phone(831) 475-8002
Fax(831) 475-8580
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1997
Enumeration DateAugust 8, 2006
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1255341962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in CA · A83742
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License A83742 (CA), E-20057 (AR)
1663 DOMINICAN WAY STE 210, Santa Cruz, CA 95065
Open in Google Maps ↗

Secondary Practice Location 1

Location 1639 Hospital DrMountain Home, AR 72653-2914 · Phone (479) 587-1700 · Fax (479) 587-1366

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrea Gaye Edwards Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658387253
PECOS Enrollment IDI20060306000325, I20251203003355
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Edwards reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Andrea Gaye Edwards MD Inc
Same address
Hematology & Oncology
1663 DOMINICAN WAY, SUITE 210
Santa Cruz, CA 95065
  • Reassigned Medicare billing, California enrollment
NPI 1972821213 (831) 475-8002
Highlands Oncology Group PA
1,541 mi
Physical Therapist
3901 PARKWAY CIR
Springdale, AR 72762
  • Reassigned Medicare billing, Arkansas enrollment
  • 86 clinicians in this Medicare group
NPI 1003734229 (479) 587-1700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$186.69 typical visit price
range $62.97 – $186.69
Typical copayment $46.67 (range $15.74 – $46.67)
Most-billed visit code 99205
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
27%22 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
92%79 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
20%81 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%135 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
12%33 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
21%460 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%236 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%134 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%145 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
10%58 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%236 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%236 patients2/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 33 patients
9%33 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIJAYA MUKTHINUTHALAPATI MD
Internal Medicine (Gastroenterology)
1663 DOMINICAN WAY STE 210
SANTA CRUZ, CA 95065
Santa Cruz County (831) 260-3591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Edwards's NPI number?

The NPI number for Andrea Edwards is 1255341962. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Andrea Edwards located?

Andrea Edwards practices at 1663 Dominican Way Ste 210 Suite 210, Santa Cruz, CA 95065. The listed phone number is (831) 475-8002.

What is Andrea Edwards's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Andrea Edwards enrolled in Medicare?

Yes. Andrea Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrea Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Edwards reassigns Medicare benefits to 2 organizations: Andrea Gaye Edwards MD Inc (Santa Cruz, CA) and Highlands Oncology Group PA (Springdale, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Edwards accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Andrea Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Edwards was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.