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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EDWARD FRANCIS PHILBIN M.D.
NPI 1750376679
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Fairhaven, MA

Active since September 16, 2005PECOS Enrolled
76.7/100
CMS Quality Rating
208 MILL RD, FAIRHAVEN, MA 02719(508) 973-2207(508) 973-2505 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Dr. Edward Francis Philbin M.d. NPPES

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

DR. EDWARD FRANCIS PHILBIN M.D. (NPI 1750376679) is an individual advanced heart failure and transplant cardiology provider in Fairhaven, Massachusetts, licensed in Massachusetts (53031) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Rutgers New Jersey Medical School (1983).

NPPES Registry Identity

NPI1750376679
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. EDWARD FRANCIS PHILBINCredential: M.D.
Location Address208 MILL RDFairhaven, MA 02719-5208
Mailing Address200 Mill RdFairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Phone(508) 973-2207
Fax(508) 973-2505
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1983
Enumeration DateSeptember 16, 2005
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1750376679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in MA · 53031
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 178457 (NY)
208 MILL RD, Fairhaven, MA 02719
Open in Google Maps ↗

Other Identifiers 1

Medicaid01163166NY

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. Edward Francis Philbin 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 ID4082745443
PECOS Enrollment IDI20100629000082
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,272 services1,045 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.
84 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
78 services78 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
76 services45 patients
Evaluation of implantable heart and blood vessel monitoring system 93290
An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.
37 services31 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.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02719 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

MRS. ELIZABETH MEADOWS GALVIN APRN-CNP
Nurse Practitioner (Family)
208 MILL RD, STE 101
FAIRHAVEN, MA 02719
Bristol County (508) 758-3781
MICHAEL SCOTT GERLACH P.A.
Physician Assistant (Surgical)
208 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 973-2612
MR. JOHN WILBURN ACORD JR.
Nurse Practitioner
208 MILL RD
FAIRHAVEN, MA 02719
Bristol County (973) 200-0508
TAMMY LYNN GLEESON DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
208 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 973-2204
MISS KAYLA PLEISS MSN, APRN, FNP-BC
Nurse Practitioner
208 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 973-2432
DR. NICHOLAS ROBERT ONDRASIK D.O.
Internal Medicine (Critical Care Medicine)
208 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 973-2224
WILLIAM E ROCKETT MD
Surgery
208 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 973-2204
DR. VALENTINA DACUNHA MD
Family Medicine
208 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 996-1800

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 Edward Philbin's NPI number?

The NPI number for Edward Philbin is 1750376679. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Edward Philbin located?

Edward Philbin practices at 208 Mill Rd, Fairhaven, MA 02719. The listed phone number is (508) 973-2207.

What is Edward Philbin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Edward Philbin enrolled in Medicare?

Yes. Edward Philbin 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.

Is Edward Philbin affiliated with any hospitals?

According to CMS data, Edward Philbin is affiliated with Albany Medical Center Hospital, Samaritan Hospital Of Troy, New York and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Edward Philbin was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.