DR. EDWARD DAVID HIMOT M.D.
NPI 1639173248
Internal Medicine - Nephrology in Marietta, GA
Active since June 10, 2005PECOS Enrolled
92.93/100
CMS Quality Rating
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060(770) 427-7389(770) 427-2845 Get Directions Write a Review
About Dr. Edward David Himot M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD DAVID HIMOT M.D. (NPI 1639173248) is an individual nephrology provider in Marietta, Georgia, licensed in Georgia (GA018388) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1639173248
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. EDWARD DAVID HIMOTCredential: M.D.
Location Address55 WHITCHER ST NE, STE 460Marietta, GA 30060-1171
Mailing Address55 Whitcher St Ne, Ste 460Marietta, GA 30060-1171 · (770) 427-7389 · Fax (770) 427-2845
Phone(770) 427-7389
Fax(770) 427-2845
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 1, 2019
✔ NPI 1639173248 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · GA018388
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License 018388 (GA)
55 WHITCHER ST NE, Marietta, GA 30060
Other Identifiers 16
Medicaid000135231MGA
Medicaid000135231LGA
Medicaid000135231YGA
Medicaid000135231HGA
Medicaid000135231KGA
Medicaid000135231RGA
Medicaid000135231SGA
Medicaid000135231EGA
Medicaid000135231FGA
Medicaid000135231UGA
Medicaid000135231WGA
Medicaid000135231TGA
Medicaid000135231VGA
Medicaid000135231XGA
Medicaid000135231JGA
Medicaid00135231AGA
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Edward David Himot M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 17
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
3,082 services17 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
454 services303 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
398 services269 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
334 services51 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
121 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
115 services21 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.
92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality
80.38
Promoting Interoperability
100
Improvement Activities
40
Reported Quality Measures
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
25%169 patients2/55-star benchmark: 96%
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.
99%3,818 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
2%1,230 patients1/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
5%1,230 patients1/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
22%169 patients1/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
43%1,230 patients2/55-star benchmark: 99%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
8%238 patients1/55-star benchmark: 99%
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers35 claims5,478 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims1,440 services$0.17 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
7 suppliers34 claims34 services$18.40 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers17 claims17 services$11.15 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
MARIETTA, GA 30060
Internal Medicine (Infectious Disease)
55 WHITCHER ST NE, SUITE 220
MARIETTA, GA 30060
MARIETTA, GA 30060
Internal Medicine (Endocrinology, Diabetes & Metabolism)
55 WHITCHER ST NE, SUITE 400
MARIETTA, GA 30060
MARIETTA, GA 30060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639173248, enumerated as an "individual" on June 10, 2005.
The provider is located at 55 WHITCHER ST NE STE 460 MARIETTA, GA 30060 and the phone number is (770) 427-7389.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
