Edward A. Himes, MD
NPI 1942386503ActiveIndividual· Internal Medicine· Irvine, CA
Internal Medicine (MD) in Irvine, California, trained at Tufts University School of Medicine (class of 1992). In 2024 Medicare paid $59,147 for 409 patients, and Part D covered 623 of their prescriptions, 87% of them generic.
Overview
| NPI | 1942386503 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 27, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | G78916 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 409 |
|---|---|
| Services billed | 928 across 10 procedure codes |
| Paid by Medicare | $59,147 |
Part D prescriptions in 2024
| Prescriptions (claims) | 623 · 716 30-day fills |
|---|---|
| Patients | 178 |
| Total drug cost | $45,708 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Hospitalist |
Medical group
- Franciscan Medical GroupTacoma, WA · 1,421 clinicians
Hospital affiliations
- St Anthony HospitalGig Harbor, WA
- St Francis Community HospitalFederal Way, WA
- St Joseph Medical CenterTacoma, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 207 internal medicine physicians in Irvine · All internal medicine physicians in California