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BABAK EDRAKI MD
NPI 1942249388
Obstetrics & Gynecology - Gynecology in Walnut Creek, CA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1479 YGNACIO VALLEY RD STE 100, WALNUT CREEK, CA 94598(925) 627-3440(925) 627-3450 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Babak Edraki Md NPPES

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

BABAK EDRAKI MD (NPI 1942249388) is an individual gynecology provider in Walnut Creek, California, licensed in California (G67092) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1988).

NPPES Registry Identity

NPI1942249388
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameBABAK EDRAKICredential: MD
Location Address1479 YGNACIO VALLEY RD STE 100Walnut Creek, CA 94598
Mailing Address1455 Montego, Ste 100Walnut Creek, CA 94598 · (925) 627-3440 · Fax (925) 627-3450
Phone(925) 627-3440
Fax(925) 627-3450
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1988
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 10, 2018
✔ NPI 1942249388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · G67092
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · Critical Care MedicineTaxonomy 207VC0200X · License G67092 (CA)
Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X · License G67092 (CA)
1479 YGNACIO VALLEY RD STE 100, Walnut Creek, CA 94598
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Other Identifiers 1

Medicaid00G670920CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Babak Edraki 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 ID3870550759
PECOS Enrollment IDI20041213000305
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Babak Edraki reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John Muir Trauma Physicians Billing Service
0.1 mi
Hospitalist
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
NPI 1093864837 (925) 947-5331
John Muir Physician Network
1.0 mi
General Practice
1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 650 clinicians in this Medicare group
NPI 1841407665 (925) 296-9872
Alameda Health System
12 mi
Federally Qualified Health Center (FQHC)
6955 FOOTHILL BLVD STE 200
Oakland, CA 94605
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1932300738 (510) 567-5704

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 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.
158 services122 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.
110 services75 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.
72 services72 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.
65 services56 patients
Release of scar tissue at ureter 50715
This procedure involves removing scar tissue from a tube in your body that carries liquid waste from your kidneys to your bladder. Scar tissue can block this tube, causing discomfort and health issues. The goal is to restore normal function and alleviate any symptoms.
20 services20 patients
Removal of appendix during other major procedure 44955
This procedure involves the removal of the appendix, a small organ, during another major operation. It's typically done to prevent future issues like appendicitis. The procedure is safe and can help avoid a separate surgery later.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers15 claims720 services$4.91 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
2 suppliers17 claims540 services$5.67 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers13 claims500 services$2.50 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims630 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers15 claims680 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Babak Edraki's NPI number?

The NPI number for Babak Edraki is 1942249388. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Babak Edraki located?

Babak Edraki practices at 1479 Ygnacio Valley Rd Ste 100, Walnut Creek, CA 94598. The listed phone number is (925) 627-3440.

What is Babak Edraki's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Babak Edraki enrolled in Medicare?

Yes. Babak Edraki 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.

Which organizations bill Medicare for Babak Edraki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Babak Edraki reassigns Medicare benefits to 3 organizations: John Muir Trauma Physicians Billing Service (Walnut Creek, CA), John Muir Physician Network (Walnut Creek, CA) and Alameda Health System (Oakland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Babak Edraki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Babak Edraki was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.