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EDGAR R SANTILLAN M.D.
NPI 1902823867
Hospitalist in Centerville, OH

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
32.37/100
CMS Quality Rating
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459(937) 556-4324(937) 439-3786 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2023, May 24, 2019, Nov 12, 2015 (3 updates tracked since 2015).

About Edgar R Santillan M.d. NPPES

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

EDGAR R SANTILLAN M.D. (NPI 1902823867) is an individual hospitalist provider in Centerville, Ohio, licensed in Ohio (35.075548) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1902823867
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameEDGAR R SANTILLANCredential: M.D.
Location Address2400 MIAMI VALLEY DRCenterville, OH 45459-4774
Mailing AddressPo Box 771861Detroit, MI 48277-1861 · (937) 556-4324 · Fax (937) 350-6477
Phone(937) 556-4324
Fax(937) 439-3786
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 16, 2006
Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1902823867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.075548
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-075548 (OH)
2400 MIAMI VALLEY DR, Centerville, OH 45459
Open in Google Maps ↗

Other Identifiers 1

Medicaid2489016OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance.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

Edgar R Santillan 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 ID6507837044
PECOS Enrollment IDI20040805001335
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 9

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.
489 services279 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
225 services225 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.
131 services131 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.
86 services81 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.
44 services37 patients
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.
31 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

32.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.05
Improvement Activities0
Cost39.84

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.

JENNIFER M WAGNER
Nurse Practitioner (Acute Care)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 208-8394
HEATHER DAVIS NP
Nurse Practitioner (Acute Care)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400
LUCAS POLLEY
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR, SPORTS MEDICINE CETER
CENTERVILLE, OH 45459
Montgomery County (937) 876-9833
LINDSEY R BOWEN PA
Physician Assistant
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 208-8394
JODI DIEDRICH AT, ATC
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (920) 838-3359
JENNA WILLIAMS ATC
General Acute Care Hospital
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400
MISS ERIN BERBERICH ATC
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400
MRS. EMILY P SORENSEN NP-C
Nurse Practitioner (Family)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400

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 Santillan's NPI number?

The NPI number for Edgar Santillan is 1902823867. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Edgar Santillan located?

Edgar Santillan practices at 2400 Miami Valley Dr, Centerville, OH 45459. The listed phone number is (937) 556-4324.

What is Edgar Santillan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Edgar Santillan enrolled in Medicare?

Yes. Edgar Santillan 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 Edgar Santillan accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Edgar Santillan 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 Edgar Santillan affiliated with any hospitals?

According to CMS data, Edgar Santillan is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Edgar Santillan was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.