Edit Hegyi, M.D., PHD
NPI 1396039301 · Clinic/Center · San Diego, CA
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edit Hegyi, M.D., PHD is a Clinic/Center provider in San Diego, CA (NPI 1396039301).
Provider details
- NPI number
- 1396039301
- Entity type
- Individual
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Credential
- M.D., PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- A89002 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 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
60 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 | 28 | $124 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 19 | $161 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 13 | $139 |
Typical Medicare-allowed amounts for these services range $124–$161 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 123 | 42 |
| Metformin Hcl | 91 | 31 |
| Losartan Potassium | 73 | 23 |
| Gabapentin | 73 | 20 |
| Amlodipine Besylate | 69 | 26 |
| Levothyroxine Sodium | 61 | 18 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2015-07-30
Frequently asked questions
- What is Edit Hegyi's NPI number?
- Edit Hegyi's National Provider Identifier (NPI) is 1396039301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edit Hegyi's specialty?
- Edit Hegyi is listed in the NPPES registry with a primary specialty of Clinic/Center (Ambulatory Health Care Facilities).
- Where is Edit Hegyi located?
- Edit Hegyi's practice location on file with NPPES is 16769 Bernardo Center Dr, San Diego, CA 92128-2546.
- What is Edit Hegyi's phone number?
- The practice phone number listed in the NPPES registry for Edit Hegyi is (760) 522-1360.
- Does Edit Hegyi accept Medicare?
- Edit Hegyi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edit Hegyi's NPI active?
- Yes — Edit Hegyi's NPI (1396039301) is active in the NPPES registry as of the last update on 2015-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.