EDGAR MORENO (PA-C) – Adult Medicine Physician, NPI 1003381583
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EDGAR MORENO (PA-C)
11612 Bolthouse Dr Ste 100
Bakersfield, CA 933118497
Phone: (661) 748-1999
Fax: (661) 748-1815
Type: Location
918, Cadmus Court, Arvin, Kern County, California, 93203, United States
ARVIN, CA 932032000
Phone: (661) 557-0847
Type: Mailing
6001, Truxtun Avenue, Quailwood, Bakersfield, Kern County, California, 93309, United States
BAKERSFIELD, CA 933090679
Phone: (661) 323-8477
Type: Location
PO BOX 1139
BAKERSFIELD, CA 933021139
Phone: (661) 371-2796
Fax: (661) 438-1746
Type: Mailing
3008 SILLECT AVE STE 220
BAKERSFIELD, CA 933086362
Phone: (661) 748-1999
Fax: (661) 748-1815
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $2,294.
Total Amount is formed as General ($2,294) + Research ($0) + Ownership ($0) = $2,294.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Amgen Inc. ($449).
Total Amount
$2,294
General + Research + Ownership
Payments
88
Total payment records
General Amount
$2,294
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $449 |
| Novo Nordisk Inc | $353 |
| Xeris Pharmaceuticals, Inc. | $308 |
| Lilly USA, LLC | $233 |
| Medtronic, Inc. | $215 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191227002315 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 363 | 169 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 82 | 17 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 54 | 39 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 53 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
Insurance plans in this area (ZIP 93311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| Family Practice | FL | |
| H O S P I T A L I S T | CA |
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