Edgar Bigornia, M.D.
NPI 1639116973 · Gastroenterology Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edgar Bigornia, M.D. is a Gastroenterology Physician provider in Toms River, NJ (NPI 1639116973).
Provider details
- NPI number
- 1639116973
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 25MA06983100 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,545 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 315 | $132 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 257 | $17 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 204 | $82 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 124 | $104 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 111 | $174 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 972 | 289 |
| Dexlansoprazolebrand: Dexlansoprazole Dr | 145 | 43 |
| Rabeprazole Sodium | 96 | 20 |
| Dicyclomine Hcl | 90 | 48 |
| Linaclotidebrand: Linzess | 83 | 12 |
| Mesalamine | 79 | 20 |
| Colestipol Hcl | 72 | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$213 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Edgar Bigornia's NPI number?
- Edgar Bigornia's National Provider Identifier (NPI) is 1639116973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edgar Bigornia's specialty?
- Edgar Bigornia is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Edgar Bigornia located?
- Edgar Bigornia's practice location on file with NPPES is 477 Lakehurst Rd, Toms River, NJ 08755-6342.
- What is Edgar Bigornia's phone number?
- The practice phone number listed in the NPPES registry for Edgar Bigornia is (732) 349-4422.
- Does Edgar Bigornia accept Medicare?
- Edgar Bigornia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edgar Bigornia's NPI active?
- Yes — Edgar Bigornia's NPI (1639116973) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.