DR. EDWIN A ALVAREZ M.D.
NPI 1710197330
Obstetrics & Gynecology - Gynecologic Oncology in Sacramento, CA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
91.85/100
CMS Quality Rating
4860 Y ST, SUITE 2500, SACRAMENTO, CA 95817(916) 734-6938(916) 734-6034 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwin A Alvarez M.d. NPPES

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

DR. EDWIN A ALVAREZ M.D. (NPI 1710197330) is an individual gynecologic oncology provider in Sacramento, California, licensed in California (A78109) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2000).

NPPES Registry Identity

NPI1710197330
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. EDWIN A ALVAREZCredential: M.D.
Location Address4860 Y ST, SUITE 2500Sacramento, CA 95817-2307
Mailing Address4860 Y St, Suite 2500Sacramento, CA 95817-2307 · (916) 734-6938 · Fax (916) 734-6034
Fax(916) 734-6034
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2000
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 7, 2012
NPI 1710197330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in CA · A78109
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
4860 Y ST, Sacramento, CA 95817

Other Identifiers 1

Medicaid00A781090CA

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. Edwin A Alvarez 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 ID3375635832
PECOS Enrollment IDI20070828001084
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 6

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 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.
171 services64 patients
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.
79 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services20 patients
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.
51 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

91.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability100
Improvement Activities40
Cost68.01

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.

Student in an Organized Health Care Education/Training Program
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817
Physical Medicine & Rehabilitation
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Obstetrics & Gynecology
4860 Y ST
SACRAMENTO, CA 95817
General Acute Care Hospital
4860 Y ST
SACRAMENTO, CA 95817
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4860 Y ST
SACRAMENTO, CA 95817
Internal Medicine (Cardiovascular Disease)
4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817

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 Edwin Alvarez's NPI number?

The NPI number for Edwin Alvarez is 1710197330. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Edwin Alvarez located?

Edwin Alvarez practices at 4860 Y St Suite 2500, Sacramento, CA 95817. The listed phone number is (916) 734-6938.

What is Edwin Alvarez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Edwin Alvarez enrolled in Medicare?

Yes. Edwin Alvarez 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 Edwin Alvarez was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.