EDMUND S EVANGELISTA (MD) – Physical Medicine & Rehabilitation Physician, NPI 1144287434
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,149 PHYSICAL MEDICINE AND REHABILITATION in CA
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Provider Addresses for EDMUND S EVANGELISTA (MD)
26401, Crown Valley Parkway, Mission Viejo, Orange County, California, 92691, United States
SUITE 101
MISSION VIEJO, CA 926916302
Phone: (949) 348-4000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-09-12
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 |
|---|---|---|---|---|
| I20110912000534 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 220 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 192 | 97 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 185 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 60 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 55 | 41 | $0 |
Insurance plans in this area (ZIP 92691)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | CA | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 50 | 44 |
| PHYSICAL MEDICINE AND REHABILITATIO | CA | 73562 | X-ray of knee, 3 views | 19 | 14 |
| PHYSICAL MEDICINE AND REHABILITATIO | CA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 33 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | CA |
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