EDSEL LUMBIS HESITA M.D.
NPI 1639102064
Internal Medicine - Medical Oncology in San Antonio, TX

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
11130 CHRISTUS HLS STE 210, SAN ANTONIO, TX 78251(210) 245-2000(210) 245-2020 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2021, Feb 28, 2018, Jan 28, 2016 (3 updates tracked since 2016).

About Edsel Lumbis Hesita M.d. NPPES

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

EDSEL LUMBIS HESITA M.D. (NPI 1639102064) is an individual medical oncology provider in San Antonio, Texas, licensed in Texas (M4152) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1639102064
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameEDSEL LUMBIS HESITACredential: M.D.
Location Address11130 CHRISTUS HLS STE 210San Antonio, TX 78251-3586
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-2987
Fax(210) 245-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 9, 2006
Last NPPES UpdateSeptember 20, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1639102064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in TX · M4152
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
11130 CHRISTUS HLS STE 210, San Antonio, TX 78251

Other Identifiers 5

Medicaid182238902TX
Other7633831TX · Aetna Hmo
Other7633831TX · Aetna Ppo
Other8S2186TX · Bluecross/blueshield Tx.
OtherP01547615TX · Railroad Medicare

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

Edsel Lumbis Hesita 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 ID6305843020
PECOS Enrollment IDI20061023000122
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 47

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.

Injection, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
9,800 services19 patients
Injection, paclitaxel, 1 mg J9267
Paclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
6,194 services12 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
6,000 services19 patients
Injection, granisetron hydrochloride, 100 mcg J1626
Granisetron hydrochloride is an anti-nausea medication given by injection. It helps prevent nausea and vomiting often caused by cancer treatments like chemotherapy. Its dosage is measured in micrograms (mcg).
1,310 services23 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
1,200 services12 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,136 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier26 claims2,548 services$0.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier20 claims20 services$17.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
11130 CHRISTUS HLS STE 210
SAN ANTONIO, TX 78251
Nurse Practitioner (Family)
11130 CHRISTUS HLS STE 210
SAN ANTONIO, TX 78251
Internal Medicine (Hematology & Oncology)
11130 CHRISTUS HLS STE 210
SAN ANTONIO, TX 78251
Surgery (Surgical Oncology)
11130 CHRISTUS HLS STE 210
SAN ANTONIO, TX 78251
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11130 CHRISTUS HLS STE 210
SAN ANTONIO, TX 78251

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 Edsel Hesita's NPI number?

The NPI number for Edsel Hesita is 1639102064. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Edsel Hesita located?

Edsel Hesita practices at 11130 Christus Hls Ste 210, San Antonio, TX 78251. The listed phone number is (210) 245-2000.

What is Edsel Hesita's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Edsel Hesita enrolled in Medicare?

Yes. Edsel Hesita 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 Edsel Hesita accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 4 other insurers list Edsel Hesita 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 Edsel Hesita affiliated with any hospitals?

According to CMS data, Edsel Hesita is affiliated with Christus Santa Rosa Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Edsel Hesita was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.