DR. PHILIP A EDINGTON M.D.
NPI 1508837279
Specialist in Stockton, CA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
96.39/100
CMS Quality Rating
1899 W MARCH LN, STOCKTON, CA 95207(209) 623-4700(209) 948-9321 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2020, Mar 27, 2017 (2 updates tracked since 2017).

About Dr. Philip A Edington M.d. NPPES

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

DR. PHILIP A EDINGTON M.D. (NPI 1508837279) is an individual specialist in Stockton, California, licensed in California (G58380) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1990).

NPPES Registry Identity

NPI1508837279
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PHILIP A EDINGTONCredential: M.D.
Location Address1899 W MARCH LNStockton, CA 95207-6402
Mailing Address1805 N California St, Suite 101Stockton, CA 95204-6037 · (209) 948-5515 · Fax (209) 948-9321
Fax(209) 948-9321
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1990
Enumeration DateJanuary 30, 2006
Last NPPES UpdateNovember 2, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1508837279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G58380
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOphthalmologyTaxonomy 207W00000X · License G58380 (CA)
1899 W MARCH LN, Stockton, CA 95207

Other Identifiers 1

Medicaid00G583800CA

Accepted 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

Dr. Philip A Edington 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 ID5092601658
PECOS Enrollment IDI20040820000586
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 5

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.
225 services145 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
25 services25 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
24 services24 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
22 services22 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.
11 services11 patients

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.

96.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.23
Improvement Activities40
Cost73.67

Other Providers at the Same Location NPPES 8

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

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1899 W MARCH LN
STOCKTON, CA 95207
Optometrist
1899 W MARCH LN
STOCKTON, CA 95207
Ophthalmology
1899 W MARCH LN
STOCKTON, CA 95207
Specialist
1899 W MARCH LN
STOCKTON, CA 95207
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
1899 W MARCH LN
STOCKTON, CA 95207
Ophthalmology
1899 W MARCH LN
STOCKTON, CA 95207
Ophthalmology
1899 W MARCH LN
STOCKTON, CA 95207
Ophthalmology
1899 W MARCH LN
STOCKTON, CA 95207

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 Philip Edington's NPI number?

The NPI number for Philip Edington is 1508837279. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Philip Edington located?

Philip Edington practices at 1899 W March Ln, Stockton, CA 95207. The listed phone number is (209) 623-4700.

What is Philip Edington's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Philip Edington enrolled in Medicare?

Yes. Philip Edington 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 Philip Edington accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Philip Edington 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 Philip Edington was last updated on November 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.