EDWARD C. SANTOIAN M.D.
NPI 1285739425
Internal Medicine - Interventional Cardiology in Ocala, FL

Q: What is Edward Santoian's NPI number?

The NPI number for Edward Santoian is 1285739425. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Edward Santoian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Edward Santoian was last updated on April 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment

94.93/100

CMS Quality Rating

125 SW 11TH ST, OCALA, FL 34471(352) 354-9000(352) 620-0255 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Edward C. Santoian M.d. NPPES

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

EDWARD C. SANTOIAN M.D. (NPI 1285739425) is an individual interventional cardiology provider in Ocala, Florida, licensed in Florida (ME69318) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Georgetown University School Of Medicine (1984).

NPPES Registry Identity

NPI1285739425

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameEDWARD C. SANTOIANCredential: M.D.

Location Address125 SW 11TH STOcala, FL 34471-0967

Mailing AddressPo Box 850001Orlando, FL 32885-0176 · (352) 237-7646 · Fax (352) 291-0361

Phone(352) 354-9000

Fax(352) 620-0255

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1984

Enumeration DateSeptember 13, 2006

Last NPPES UpdateApril 17, 2015

✔ NPI 1285739425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in FL · ME69318

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

125 SW 11TH ST, Ocala, FL 34471

Open in Google Maps ↗

Other Identifiers 5

Other21056FL · Blue Cross Blue Shield

Medicaid252872000FL

Medicare PIN21056XFL

Medicare UPINF47322

Medicare PINP00181703FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward C. Santoian M.d. 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 ID4688578958

PECOS Enrollment IDI20041115001128

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.

Areas of Expertise CMS Part B claims 9

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

175 services170 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

121 services121 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

112 services111 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

40 services34 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

34 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

94.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.03

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Cardiac Rehabilitation Patient Referral from an Outpatient Setting

Percentage of patients evaluated in an outpatient setting who within the previous 12 months have experienced an acute myocardial infarction (MI), coronary artery bypass graft (CABG) surgery, a percutaneous coronary intervention (PCI), cardiac valve surgery…

83%35 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Antiplatelet Therapy

Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel

98%130 patients4/55-star benchmark: 100%

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…

99%113 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…

99%153 patients4/55-star benchmark: 100%

Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy

Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)

100%1,148 patients5/55-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.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

FLORIDA HOSPITAL PHYSICIAN GROUP INC

Internal Medicine (Interventional Cardiology)