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Shirley Maria Edward, MD

Internal Medicine · Fremont

NPI 1427403146

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
10 years
Graduated 2016

Offices

2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Edward’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A155899 · Current

Licensed to practise in California · since 2018 · expires 2028-05-31 · University of Southern California Keck School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Internal Medicine

Original Medicare doctor bills

$28,950

Medicare paid this office $28,950 for 135 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)63$10,950$111
Short return visit (20+ min)58$5,877$81
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit36$5,588$155

Who their Medicare patients are

135 Original Medicare patients in 2024. Average age 73 · Under 65 9% · 85 and older 10% · Women 70% · Also on Medicaid 19% · Health risk score 1.06. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 64% · Diabetes 38% · Coronary heart disease 17% · Chronic kidney disease 15% · Depression 15% · Cancer 14% · Heart failure 9% · Atrial fibrillation 8%.

The office billed $79,124, Medicare allowed $36,464 and paid $28,950; for 277 services of 28 kinds; $2,063 of it was for drugs given in the office and $26,887 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024135277731.06$79,124$28,950
2023214394750.91$110,264$40,270
2022199426751.01$112,275$40,822
2021135310721.08$82,463$30,522
202099213721.22$51,506$17,179
20194464771.47$15,891$5,811

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Return visit (30+ min)99$15,506$112
Short return visit (20+ min)104$9,164$73
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit44$6,886$157
Transitional care management services for problem of at least moderate complexity17$3,596$200

2022: 5 services

Original Medicare services billed in 2022
Return visit (30+ min)124$21,008$108
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$6,258$156
Short return visit (20+ min)68$6,127$78
Short return visit11$545$50
Administration of influenza virus vaccine11$402$37

2021: 6 services

Original Medicare services billed in 2021
Return visit (30+ min)79$15,390$110
Short return visit (20+ min)45$3,604$74
Transitional care management services for problem of at least moderate complexity11$3,356$197
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit22$3,168$144
Influenza vaccine split virus, preservative free14$914$65
Administration of influenza virus vaccine14$293$21

2020: 4 services

Original Medicare services billed in 2020
Return visit (30+ min)50$6,659$91
Short return visit (20+ min)29$2,126$64
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit15$2,068$138
New patient visit (30+ min)23$1,430$62

2019: 1 service

Original Medicare services billed in 2019
Return visit (30+ min)29$2,896$100

Drugs they prescribed that Part D paid

$69,745

Pharmacies billed $69,745 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 1% of their Part D prescriptions (12 of 1,005) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

882 generic and fewer than 11 brand-name prescriptions · $69,745 in drug cost · 40 antibiotic prescriptions to 26 people · 11 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Eliquis25$37,099$1,484
Synthroid12$1,051$88
Atorvastatin110$907$8
Losartan41$683$17
Levothyroxine52$665$13
See all 26 drugs
Every Part D drug this clinician prescribed
Eliquis25$37,099$1,484
Synthroid12$1,051$88
Atorvastatin110$907$8
Losartan41$683$17
Levothyroxine52$665$13
Rosuvastatin20$592$30
Escitalopram22$564$26
Albuterol Sulfate Hfa23$485$21
Amlodipine Besylate75$404$5
Triamterene-Hydrochlorothiazid16$295$18
Metoprolol13$226$17
Sertraline16$221$14
Fluticasone Propionate16$212$13
Lisinopril43$207$5
Metformin36$195$5
Pantoprazole20$192$10
Baclofen11$145$13
Famotidine11$117$11
Hydrochlorothiazide14$95$7
Cyclobenzaprine12$84$7
Hydroxyzine13$66$5
Sumatriptan11$63$6
Quetiapine11$59$5
Simvastatin19$46$2
Naproxen15$36$2
Meloxicam13$15$1

Year by year

Part D prescribing by year
20241,0051461% (12)None$69,745
20239521514% (33)11%$58,609
20221,0151555% (50)10%$76,742
20218181142% (14)None$52,219
202030974None20%$18,264
201948180% (0)None$2,605

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 21 drugs

Part D drugs prescribed in 2023
Eliquis18$15,026$835
Rosuvastatin22$1,759$80
Atorvastatin99$1,148$12
Levothyroxine47$1,130$24
Losartan37$787$21
Albuterol Sulfate Hfa21$682$32
Escitalopram28$660$24
Duloxetine14$648$46
Amlodipine Besylate61$609$10
Metformin34$510$15
Hydrocodone-Acetaminophen27$455$17
Fluticasone Propionate11$437$40
Lisinopril41$417$10
Triamterene-Hydrochlorothiazid17$380$22
Gabapentin16$331$21
Pantoprazole17$300$18
Tamsulosin13$281$22
Naproxen11$152$14
Simvastatin21$98$5
Celecoxib13$91$7
Lorazepam13$42$3

2022: 24 drugs

Part D drugs prescribed in 2022
Eliquis16$17,050$1,066
Rosuvastatin11$1,409$128
Atorvastatin78$1,116$14
Losartan-Hydrochlorothiazide12$851$71
Amlodipine Besylate64$757$12
Levothyroxine41$623$15
Duloxetine25$579$23
Pantoprazole26$514$20
Losartan40$473$12
Omeprazole22$443$20
Metformin33$415$13
Hydrocodone-Acetaminophen34$380$11
Lisinopril38$344$9
Albuterol Sulfate Hfa11$302$27
Escitalopram15$300$20
Simvastatin29$299$10
Hydrochlorothiazide19$232$12
Famotidine16$219$14
Gabapentin20$190$10
Cyclobenzaprine15$185$12
Metoprolol13$162$12
Tramadol12$99$8
Lorazepam17$97$6
Clonazepam12$52$4

2021: 17 drugs

Part D drugs prescribed in 2021
Pantoprazole38$830$22
Atorvastatin49$708$14
Levothyroxine37$643$17
Losartan27$542$20
Amlodipine Besylate60$490$8
Tamsulosin30$403$13
Gabapentin21$298$14
Duloxetine15$273$18
Lovastatin18$271$15
Metformin27$243$9
Omeprazole12$230$19
Hydrochlorothiazide21$208$10
Lisinopril33$207$6
Escitalopram17$198$12
Atenolol12$197$16
Finasteride15$177$12
Simvastatin18$162$9

2020: 7 drugs

Part D drugs prescribed in 2020
Levothyroxine24$432$18
Atorvastatin16$304$19
Pantoprazole14$295$21
Duloxetine11$218$20
Amlodipine Besylate15$192$13
Omeprazole11$102$9
Lisinopril12$93$8

Money from drug and device companies

$23 in 2022

A payment is not proof that care is biased.

Payments by company
ItiCaplyta$23
1 payment
  • Meals for Caplyta · 2022-10-26 · $23
See the published payment
Every published payment
ItiMeals · 2022-10-26Caplyta$23

Professional record

NPI
1427403146
Licence
CA A155899California A155899: Current · expires 2028-05-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Internal medicine (207R00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2016-05-01
NPI last updated
2020-06-03
NPI record certified
2020-06-03

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 2351 Clay St, San Francisco, CA, 94115