EDISON VIRGIL ETSITTY M.D.
NPI 1376521500
Obstetrics & Gynecology in Santa Fe, NM

Q: What is Edison Etsitty's NPI number?

The NPI number for Edison Etsitty is 1376521500. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Q: What is Edison Etsitty's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Edison Etsitty was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment

83.84/100

CMS Quality Rating

465 SAINT MICHAELS DR, SUITE 202, SANTA FE, NM 87505(505) 984-0303(505) 984-1116 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edison Virgil Etsitty M.d. NPPES

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

EDISON VIRGIL ETSITTY M.D. (NPI 1376521500) is an individual obstetrics & gynecology provider in Santa Fe, New Mexico, licensed in New Mexico (2002-0299) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (1998).

NPPES Registry Identity

NPI1376521500

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameEDISON VIRGIL ETSITTYCredential: M.D.

Location Address465 SAINT MICHAELS DR, SUITE 202Santa Fe, NM 87505-7670

Mailing Address465 Saint Michaels Dr, Suite 202Santa Fe, NM 87505-7670 · (505) 984-0303 · Fax (505) 984-1116

Phone(505) 984-0303

Fax(505) 984-1116

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1998

Enumeration DateJanuary 6, 2006

Last NPPES UpdateFebruary 10, 2011

✔ NPI 1376521500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NM · 2002-0299

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

465 SAINT MICHAELS DR, Santa Fe, NM 87505

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Other Identifiers 9

Medicare UPINH70931

Medicaid50733826NM

OtherPROVP12721Molina

Medicaid723040AZ

Other160058344Railroad Medicare

Other10003903NM · Lovelace Health/salud

Other201038402NM · Presbyterian Health/salud

OtherNM009C04NM · Bc/bs

Other850313268020Champus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Edison Virgil Etsitty 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 ID1951447986

PECOS Enrollment IDI20091006000219

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 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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320021

Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

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.

83.84/100

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

Scored as part of a group practice

Quality

84.59

Promoting Interoperability

100

Improvement Activities

Cost

58.63

Other Providers at the Same Location NPPES 20

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

DR. THOMAS MATTHEW HOLMES M.D.

Dermatology (Pediatric Dermatology)

465 SAINT MICHAELS DR, SUITE 118
SANTA FE, NM 87505

Santa Fe County (505) 988-5120

DR. BERNARD RAY GAVRON DDS

Dentist (Endodontics)

465 SAINT MICHAELS DR, STE 208
SANTA FE, NM 87505

Santa Fe County (505) 988-7356

DR. DAVID CRAIG LINDSEY MD

Preventive Medicine (Undersea and Hyperbaric Medicine)

465 SAINT MICHAELS DR, SUITE 110
SANTA FE, NM 87505

Santa Fe County (505) 946-3180

DR. DEMOSTHENIS KLONIS D.O.

Internal Medicine (Cardiovascular Disease)

465 SAINT MICHAELS DR, SUITE 117
SANTA FE, NM 87505

Santa Fe County (505) 992-2600

PHILIP T SHIELDS MD

Neurological Surgery

465 SAINT MICHAELS DR, SUITE 107
SANTA FE, NM 87505

Santa Fe County (505) 988-3233

ST. VINCENT HOSPITAL

Psychiatry & Neurology (Neurology)

465 SAINT MICHAELS DR, SUITE 116
SANTA FE, NM 87505

Santa Fe County (505) 913-4260

PHILIP Y SMUCKER MD

Neurological Surgery

465 SAINT MICHAELS DR, SUITE 107
SANTA FE, NM 87505

Santa Fe County (505) 988-3233

SHEILA A CEPEDA MD

Obstetrics & Gynecology

465 SAINT MICHAELS DR
SANTA FE, NM 87505

Santa Fe County (505) 984-0303

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 Edison Etsitty's NPI number?

The NPI number for Edison Etsitty is 1376521500. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Edison Etsitty located?

Edison Etsitty practices at 465 Saint Michaels Dr Suite 202, Santa Fe, NM 87505. The listed phone number is (505) 984-0303.

What is Edison Etsitty's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Edison Etsitty enrolled in Medicare?

Yes. Edison Etsitty 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.

What insurance does Edison Etsitty accept?

Health plans from UnitedHealthcare list Edison Etsitty 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.

Is Edison Etsitty affiliated with any hospitals?

According to CMS data, Edison Etsitty is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Edison Etsitty was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.