Edwin Tirado, MD
NPI 1265428312 · Internal Medicine Physician · Gainesville, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edwin Tirado, MD is a Internal Medicine Physician provider in Gainesville, GA (NPI 1265428312).
Provider details
- NPI number
- 1265428312
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 061866 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,321 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 411 | $119 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 330 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 120 | $120 |
| Hemoglobin A1c Level83036 | 115 | $10 |
| Administration of Influenza Virus VaccineG0008 | 52 | $30 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 34 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 133 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 664 | 189 |
| Lisinopril | 473 | 129 |
| Amlodipine Besylate | 403 | 128 |
| Losartan Potassium | 333 | 88 |
| Metformin Hcl | 307 | 84 |
| Levothyroxine Sodium | 283 | 70 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-23
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Frequently asked questions
- What is Edwin Tirado's NPI number?
- Edwin Tirado's National Provider Identifier (NPI) is 1265428312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edwin Tirado's specialty?
- Edwin Tirado is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edwin Tirado located?
- Edwin Tirado's practice location on file with NPPES is 1315 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-3822.
- What is Edwin Tirado's phone number?
- The practice phone number listed in the NPPES registry for Edwin Tirado is (770) 219-0023.
- Does Edwin Tirado accept Medicare?
- Edwin Tirado is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edwin Tirado's NPI active?
- Yes — Edwin Tirado's NPI (1265428312) is active in the NPPES registry as of the last update on 2020-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.