Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEFFREY SPENCER EDMAN MD
NPI 1003475591
Urology in Sioux Falls, SD

Q: What is Jeffrey Edman's NPI number?

The NPI number for Jeffrey Edman is 1003475591. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Q: What is Jeffrey Edman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Edman was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2019PECOS Enrolled

201 W 69TH ST, SIOUX FALLS, SD 57108(605) 336-0635 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Jun 10, 2019 (2 updates tracked since 2019).

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About Jeffrey Spencer Edman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY SPENCER EDMAN MD (NPI 1003475591) is an individual urology provider in Sioux Falls, South Dakota, licensed in South Dakota (15631) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Avera Granite Falls, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003475591

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJEFFREY SPENCER EDMANCredential: MD

Location Address201 W 69TH STSioux Falls, SD 57108-2403

Mailing Address201 W 69th StSioux Falls, SD 57108-2403

Phone(605) 336-0635

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 10, 2019

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1003475591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in SD · 15631

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

201 W 69TH ST, Sioux Falls, SD 57108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Spencer Edman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759705049

PECOS Enrollment IDI20240826003038, I20240925000491

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

52 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

24 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

19 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Granite Falls

Critical Access Hospitals · Granite Falls, MN

OwnershipGovernment - Local

CMS Certification Number241343

Location345 Tenth AvenueGranite Falls, MN 56241 · Yellow Medcine County

Emergency services

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number241359

Location300 South Bruce StreetMarshall, MN 56258 · Lyon County

Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sioux Falls Specialty Hospital

Acute Care Hospitals · Sioux Falls, SD

OwnershipProprietary

CMS Certification Number430090

Location910 East 20th StreetSioux Falls, SD 57105 · Minnehaha County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA HUDGINS MATHIASON

Physician Assistant