Medicare Enrolled

Dr. Philip Edington, M.D.

Ophthalmology · Stockton, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1899 W MARCH LN, Stockton, CA 95207
2096234700
In practice since 2006 (20 years)
NPI: 1508837279 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Edington from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Edington? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Edington

Dr. Philip Edington is an ophthalmology specialist in Stockton, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Edington performed 617 Medicare services across 466 unique beneficiaries.

Between the years covered by Open Payments, Dr. Edington received a total of $1,555 from 16 pharmaceutical and/or device companies across 27 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Edington is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ 617 Medicare services $1,555 industry payments

Medicare Practice Summary

Medicare Utilization ↗
617
Medicare services
Bottom 25% in CA for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
466
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~31 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
 388 $57 $125
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
 62 $30 $77
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
 54 $42 $120
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
 52 $22 $77
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
 39 $60 $150
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
 11 $7 $30
Eye drainage system examination
An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye.
 11 $13 $75
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,555
Total received (2018-2024)
Avg $259/year across 6 years
Top 48% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
27
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,555 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$86
2022
$293
2021
$209
2020
$101
2019
$348
2018
$518

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$86
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Aerie Pharmaceuticals, Inc.
$402
Alcon Vision LLC
$301
Carl Zeiss Meditec, Inc.
$148
Regeneron Healthcare Solutions, Inc.
$120
Alcon Laboratories Inc
$110
Shire North American Group Inc
$102
Amgen Inc.
$86
Boston Scientific Corporation
$62
Sun Pharmaceutical Industries Inc.
$54
Carl Zeiss Meditec AG
$39
Allergan Inc.
$36
OPTOS, INC.
$27
Oyster Point Pharma, Inc.
$26
Novartis Pharmaceuticals Corporation
$15
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Allergan, Inc.
$12
Top 3 companies account for 54.7% of all-time payments
Associated products mentioned in payments ›
CALLISTO eye · Cequa · Constellation · CyPass · EYLEA · INFINION · LUMIGAN · None Specified · P200DTx · RELISTOR · Rhopressa · SIMBRINZA · TEPEZZA · TYRVAYA · XIIDRA · rocklatan
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in Stockton?
Compare ophthalmologists in the Stockton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologists within 10 mi
37
Per 100K population
4.7
County median income
$88,531
Nearest hospital
ST JOSEPH'S MEDICAL CENTER OF STOCKTON
2.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Edington is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Edington experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Edington performed 388 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Edington receive payments from pharmaceutical companies?
Yes. Dr. Edington received a total of $1,555 from 16 companies across 27 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Edington's costs compare to other ophthalmologists in Stockton?
Dr. Edington's average Medicare payment per service is $48. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Edington) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →