Athena Philis-Tsimikas, M.D.
NPI 1922105964 · Endocrinology, Diabetes & Metabolism Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Athena Philis-Tsimikas, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in La Jolla, CA (NPI 1922105964).
Provider details
- NPI number
- 1922105964
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A50477 (CA)
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
19 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
940 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) |
|---|---|---|
| Diabetes Outpatient Self-Management Training Services, Group Session (2 Or More), Per 30 MinutesG0109 | 787 | $17 |
| Diabetes Outpatient Self-Management Training Services, Individual, Per 30 MinutesG0108 | 108 | $58 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 30 | $137 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $97 |
Typical Medicare-allowed amounts for these services range $17–$137 (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 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 79 | 17 |
| Empagliflozinbrand: Jardiance | 42 | — |
| Metformin Hcl | 33 | — |
| Tirzepatidebrand: Mounjaro | 20 | — |
| Insulin Pump Cart,auto,bt,g6/7brand: Omnipod 5 Dexg7g6 Pods (gen 5) | 16 | — |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$60,451 across 50 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
- 2006-09-20
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Frequently asked questions
- What is Athena Philis-Tsimikas's NPI number?
- Athena Philis-Tsimikas's National Provider Identifier (NPI) is 1922105964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Athena Philis-Tsimikas's specialty?
- Athena Philis-Tsimikas is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Athena Philis-Tsimikas located?
- Athena Philis-Tsimikas's practice location on file with NPPES is 9894 Genesee Ave, La Jolla, CA 92037-1205.
- What is Athena Philis-Tsimikas's phone number?
- The practice phone number listed in the NPPES registry for Athena Philis-Tsimikas is (858) 678-7050.
- Does Athena Philis-Tsimikas accept Medicare?
- Athena Philis-Tsimikas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Athena Philis-Tsimikas's NPI active?
- Yes — Athena Philis-Tsimikas's NPI (1922105964) is active in the NPPES registry as of the last update on 2024-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.