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EDIT HEGYI M.D., PHD
NPI 1396039301
Clinic/Center in San Diego, CA

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
16769 BERNARDO CENTER DR, SUITE K13, SAN DIEGO, CA 92128(760) 522-1360 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edit Hegyi M.d., Phd NPPES

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

EDIT HEGYI M.D., PHD (NPI 1396039301) is an individual clinic/center provider in San Diego, California, licensed in California (A89002) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1396039301
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameEDIT HEGYICredential: M.D., PHD
Location Address16769 BERNARDO CENTER DR, SUITE K13San Diego, CA 92128-2546
Mailing Address16769 Bernardo Center Dr, Suite K13San Diego, CA 92128-2546 · (760) 522-1360
Phone(760) 522-1360
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJune 7, 2011
Last NPPES UpdateJuly 30, 2015
✔ NPI 1396039301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A89002
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
16769 BERNARDO CENTER DR, San Diego, CA 92128
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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

Edit Hegyi M.d., Phd 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 ID3375866296
PECOS Enrollment IDI20150309002683
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 Reassignment

Medicare enrollment records show Edit Hegyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Silvergate Medical Corp.
Same address
Clinic/Center
16769 BERNARDO CENTER DR, SUITE K13
San Diego, CA 92128
  • Reassigned Medicare billing, California enrollment
NPI 1215343264 (760) 990-3523

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 3

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.
28 services21 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.
19 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 4

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

SILVERGATE MEDICAL CORP.
Clinic/Center
16769 BERNARDO CENTER DR, SUITE K13
SAN DIEGO, CA 92128
San Diego County (760) 990-3523
GROWING GRIT PSYCHOLOGICAL SERVICES APC
Psychologist
16769 BERNARDO CENTER DR, SUITE 1 # 182
SAN DIEGO, CA 92128
San Diego County (619) 609-7134
BRITTANY PLUMMER L.AC
Acupuncturist
16769 BERNARDO CENTER DR, SUITE 21
SAN DIEGO, CA 92128
San Diego County (858) 433-5588
GROW CHIROPRACTIC INC
Chiropractor
16769 BERNARDO CENTER DR, SUITE 21
SAN DIEGO, CA 92128
San Diego County (858) 675-0007

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 Edit Hegyi's NPI number?

The NPI number for Edit Hegyi is 1396039301. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Edit Hegyi located?

Edit Hegyi practices at 16769 Bernardo Center Dr Suite K13, San Diego, CA 92128. The listed phone number is (760) 522-1360.

What is Edit Hegyi's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Edit Hegyi enrolled in Medicare?

Yes. Edit Hegyi 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 organization bills Medicare for Edit Hegyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edit Hegyi reassigns Medicare benefits to Silvergate Medical Corp. (San Diego, CA). The 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 Edit Hegyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edit Hegyi was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.