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DR. DEBORAH J. EDGEWORTH M.D.
NPI 1003802935
Obstetrics & Gynecology in Panama City Beach, FL

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
120 N RICHARD JACKSON BLVD STE 130, PANAMA CITY BEACH, FL 32407(850) 608-6405 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Deborah J. Edgeworth M.d. NPPES

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

DR. DEBORAH J. EDGEWORTH M.D. (NPI 1003802935) is an individual obstetrics & gynecology provider in Panama City Beach, Florida, licensed in Florida (ME75682) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Panama City, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1993).

NPPES Registry Identity

NPI1003802935
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DEBORAH J. EDGEWORTHCredential: M.D.
Location Address120 N RICHARD JACKSON BLVD STE 130Panama City Beach, FL 32407
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 475-4500 · Fax (850) 475-4619
Phone(850) 608-6405
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1993
Enumeration DateSeptember 26, 2005
Last NPPES UpdateAugust 21, 2019
✔ NPI 1003802935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME75682✔ Licensed in MS · 14000
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
120 N RICHARD JACKSON BLVD STE 130, Panama City Beach, FL 32407
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Secondary Practice Location 1

Location 125 Doctors DrPanama City, FL 32405-4520 · Phone (850) 785-0515 · Fax (850) 763-8400

Other Identifiers 1

Medicaid255106300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Dr. Deborah J. Edgeworth M.d. 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 ID7719173707
PECOS Enrollment IDI20101203000696
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Deborah Edgeworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Heart Hospital Of Pensacola
85 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500
Ob Hospitalist Group LLC
86 mi
Obstetrics & Gynecology
1000 W MORENO ST
Pensacola, FL 32501
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1679292569 (864) 908-3530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32407 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$210.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SACRED HEART MEDICAL GROUP
Obstetrics & Gynecology
120 N RICHARD JACKSON BLVD STE 130
PANAMA CITY BEACH, FL 32407
Bay County (850) 278-3280

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 Deborah Edgeworth's NPI number?

The NPI number for Deborah Edgeworth is 1003802935. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Deborah Edgeworth located?

Deborah Edgeworth practices at 120 N Richard Jackson Blvd Ste 130, Panama City Beach, FL 32407. The listed phone number is (850) 608-6405.

What is Deborah Edgeworth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Deborah Edgeworth enrolled in Medicare?

Yes. Deborah Edgeworth 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 Deborah Edgeworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Edgeworth reassigns Medicare benefits to 2 organizations: Sacred Heart Hospital Of Pensacola (Pensacola, FL) and Ob Hospitalist Group LLC (Pensacola, FL). 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 Deborah Edgeworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Edgeworth accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health and 2 other insurers list Deborah Edgeworth 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.

When was this NPI record last updated?

The NPPES record for Deborah Edgeworth was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.