JEFFREY SPENCER EDMAN MD
NPI 1003475591
Urology in Sioux Falls, SD
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jeffrey Edman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 43 clinicians in this Medicare group
Worthington, MN 56187
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1568401016 (Minnesota)
- 260 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MNAvera Marshall Regional Medical Ctr
Critical Access Hospitals · Marshall, MNAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDSanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDSioux Falls Specialty Hospital
Acute Care Hospitals · Sioux Falls, SDPhysician 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.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Jeffrey Edman located?
Jeffrey Edman practices at 201 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 336-0635.
What is Jeffrey Edman's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Jeffrey Edman enrolled in Medicare?
Yes. Jeffrey Edman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jeffrey Edman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Edman reassigns Medicare benefits to 2 organizations: Urology Specialists Chartered (Sioux Falls, SD) and Avera Marshall (Worthington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Edman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Edman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Sanford Health Plan and 2 other insurers list Jeffrey Edman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jeffrey Edman affiliated with any hospitals?
According to CMS data, Jeffrey Edman is affiliated with Avera Granite Falls, Avera Marshall Regional Medical Ctr, Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center and Sioux Falls Specialty Hospital.
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 2 months 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.
# Jeffrey Spencer Edman, MD · NPI 1003475591
Urology physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since June 10, 2019.
## Identity
- **NPI:** 1003475591 (Entity type: Individual)
- **Enumerated:** June 10, 2019
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 15631 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 W 69TH ST, Sioux Falls, SD 57108-2403
- **Phone:** (605) 336-0635
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Urology Specialists Chartered (NPI 1881647246, Sioux Falls, SD); Avera Marshall (NPI 1417378555, Worthington, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003475591) · Data from the CMS NPPES public registry.