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EDGAR PIERLUISSI MD
NPI 1861599854
Internal Medicine in San Francisco, CA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
91.85/100
CMS Quality Rating
1001 POTRERO AVENUE, RM 5H22, SAN FRANCISCO, CA 94110(415) 206-8317(415) 476-8965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgar Pierluissi Md NPPES

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

EDGAR PIERLUISSI MD (NPI 1861599854) is an individual internal medicine provider in San Francisco, California, licensed in California (G76264) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1861599854
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDGAR PIERLUISSICredential: MD
Location Address1001 POTRERO AVENUE, RM 5H22San Francisco, CA 94110-3518
Mailing AddressPo Box 7464San Francisco, CA 94120-7464 · (415) 206-3103 · Fax (415) 206-3872
Phone(415) 206-8317
Fax(415) 476-8965
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1991
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861599854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G76264
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 POTRERO AVENUE, San Francisco, CA 94110
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Other Identifiers 1

Medicare UPINF76510

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

Edgar Pierluissi Md 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 ID8123024833
PECOS Enrollment IDI20061019000361
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
98 services30 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.
91 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

PWINT PHYU KHINE D.O.
Radiology (Diagnostic Radiology)
1001 POTRERO AVENUE, BLDG. 5, 1ST FLOOR
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8020
JOYCE SESE DORADO PH D
Psychologist (Clinical)
1001 POTRERO AVENUE, RM 7M
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5612
STEPHANIE SHEREENA HERNANDEZ
Community Health Worker
1001 POTRERO AVENUE, BUILDING 90 WARD 94
SAN FRANCISCO, CA 94110
San Francisco County (415) 373-7119
CITY AND COUNY OF SAN FRANCISCO
Nuclear Medicine
1001 POTRERO AVENUE, RM G100
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8580
URMIMALA SARKAR MD
Internal Medicine
1001 POTRERO AVENUE, RM 5H22
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8317
RENA MEI MD
Internal Medicine (Gastroenterology)
1001 POTRERO AVENUE, BUILDING 5, 3RD FLOOR, SUITE 3D
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8823
MICHAEL HARRINGTON HUMPHREYS MD
Internal Medicine
1001 POTRERO AVENUE, BLDG 100 RM 350
SAN FRANCISCO, CA 94110
San Francisco County (415) 476-4617
LLOYD JOSEPH KING MD
Psychiatry & Neurology (Psychiatry)
1001 POTRERO AVENUE, RM 7M
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5612

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 Edgar Pierluissi's NPI number?

The NPI number for Edgar Pierluissi is 1861599854. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Edgar Pierluissi located?

Edgar Pierluissi practices at 1001 Potrero Avenue Rm 5h22, San Francisco, CA 94110. The listed phone number is (415) 206-8317.

What is Edgar Pierluissi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edgar Pierluissi enrolled in Medicare?

Yes. Edgar Pierluissi 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 Edgar Pierluissi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.