Evelyn Edelmuth, MD
NPI 1871505776 · Psychiatry Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evelyn Edelmuth, MD is a Psychiatry Physician provider in Modesto, CA (NPI 1871505776).
Provider details
- NPI number
- 1871505776
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- A42138 (CA)
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
19 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
320 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) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 291 | $48 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 15 | $80 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $128 |
Typical Medicare-allowed amounts for these services range $48–$128 (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 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Quetiapine Fumarate | 15 |
| Trazodone Hcl | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2016-09-01
Frequently asked questions
- What is Evelyn Edelmuth's NPI number?
- Evelyn Edelmuth's National Provider Identifier (NPI) is 1871505776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evelyn Edelmuth's specialty?
- Evelyn Edelmuth is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Evelyn Edelmuth located?
- Evelyn Edelmuth's practice location on file with NPPES is 1501 Claus Rd, Modesto, CA 95355-9711.
- What is Evelyn Edelmuth's phone number?
- The practice phone number listed in the NPPES registry for Evelyn Edelmuth is (209) 557-6310.
- Does Evelyn Edelmuth accept Medicare?
- Evelyn Edelmuth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Evelyn Edelmuth's NPI active?
- Yes — Evelyn Edelmuth's NPI (1871505776) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.