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WALTER ALLAN EDMISTON JR. MD
NPI 1407811128
Internal Medicine - Cardiovascular Disease in Pasadena, CA

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
26.38/100
CMS Quality Rating
55 E CALIFORNIA BLVD, 3RD FLOOR, PASADENA, CA 91105(626) 793-1227(626) 793-3794 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walter Allan Edmiston Jr. Md NPPES

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

WALTER ALLAN EDMISTON JR. MD (NPI 1407811128) is an individual cardiovascular disease provider in Pasadena, California, licensed in California (G23064) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1971).

NPPES Registry Identity

NPI1407811128
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameWALTER ALLAN EDMISTON JR.Credential: MD
Location Address55 E CALIFORNIA BLVD, 3RD FLOORPasadena, CA 91105-3944
Mailing Address55 E California Blvd, 3rd FloorPasadena, CA 91105-3944 · (626) 793-1227 · Fax (626) 793-3794
Phone(626) 793-1227
Fax(626) 793-3794
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1971
Enumeration DateApril 18, 2006
Last NPPES UpdateFebruary 5, 2016
✔ NPI 1407811128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · G23064
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

55 E CALIFORNIA BLVD, Pasadena, CA 91105
Open in Google Maps ↗

Other Identifiers 5

OtherG23064CA · St Lic Number
Medicare PINCB223410CA
OtherG23064CA · Blue Shield
Medicare UPINA89375
OtherP01575801CA · Mcr Rr

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

Walter Allan Edmiston Jr. 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 ID9335042845
PECOS Enrollment IDI20090204000115
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 12

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, 30-39 minutes 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.
707 services345 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
653 services346 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
157 services27 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
152 services27 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
65 services56 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
64 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

26.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost87.93

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
89%56 patients4/55-star benchmark: 99%
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.
100%1,382 patients5/55-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.
95%1,123 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
15%711 patients1/55-star benchmark: 88%
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.
98%51 patients4/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 60 patients
100%62 patients
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.
94%621 patients4/55-star benchmark: 97%
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%479 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 450 patients
Patients tobacco: 97% · 450 patients
95%22 patients4/55-star benchmark: 98%
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…
71%621 patients3/55-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…
4%621 patients1/55-star benchmark: 89%
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% · 522 patients
0%522 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%621 patients
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 20

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

DAVID CANTOR MD
Specialist
55 E CALIFORNIA BLVD, SUITE 204
PASADENA, CA 91105
Los Angeles County (626) 397-8323
KRISTIN CHAPMAN MD
Pediatrics
55 E CALIFORNIA BLVD, SUITE 200
PASADENA, CA 91105
Los Angeles County (626) 449-7350
JAMIE B KNAUSS MD
Pediatrics
55 E CALIFORNIA BLVD, SUITE 200
PASADENA, CA 91105
Los Angeles County (626) 449-7350
KRISTA SMITH PA
Physician Assistant
55 E CALIFORNIA BLVD, SUITE 204
PASADENA, CA 91105
Los Angeles County (626) 792-8550
JOEL W HEGER MD
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, 3RD FLOOR
PASADENA, CA 91105
Los Angeles County (626) 793-1227
GREGORY MORRIS GIESLER MD
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, 3RD FLOOR
PASADENA, CA 91105
Los Angeles County (626) 793-1227
JOHN L EASTHOPE JR. MD
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, 3RD FL
PASADENA, CA 91105
Los Angeles County (626) 793-1227
SOUTHERN CALIFORNIA HEART SPECIALISTS
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, 3RD FLOOR
PASADENA, CA 91105
Los Angeles County (626) 793-1227

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 Walter Edmiston's NPI number?

The NPI number for Walter Edmiston is 1407811128. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Walter Edmiston located?

Walter Edmiston practices at 55 E California Blvd 3rd Floor, Pasadena, CA 91105. The listed phone number is (626) 793-1227.

What is Walter Edmiston's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Walter Edmiston enrolled in Medicare?

Yes. Walter Edmiston 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.

When was this NPI record last updated?

The NPPES record for Walter Edmiston was last updated on February 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.