SCOTT EDWARDS PA NPI 1013092436
Anesthesiologist Assistant in Atlanta, GA

About SCOTT EDWARDS PA

Scott Edwards is a provider established in Atlanta, Georgia and his medical specialization is Anesthesiologist Assistant with more than 29 years of experience. He graduated from Emory University School Of Medicine in 1994. The NPI number of Scott Edwards is 1013092436 and was assigned on October 2006. The practitioner's primary taxonomy code is 367H00000X with license number 002560 (GA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013092436
Provider Name SCOTT EDWARDS PA
Location Address550 PEACHTREE ST ANESTHESIOLOGY 2ND FLOOR ATLANTA, GA 30308
Location Phone(404) 778-4852
Mailing Address3228 POST WOODS DR APT I ATLANTA, GA 30339
GenderMale
NPI Entity TypeIndividual
Medical School NameEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1994
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date07-08-2007

Scott Edwards is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.1, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code367H00000X
ClassificationAnesthesiologist Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.002560
License StateGA
Taxonomy DescriptionAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

SCOTT EDWARDS PA
550 PEACHTREE ST
ANESTHESIOLOGY 2ND FLOOR
ATLANTA, GA
ZIP 30308
Phone: (404) 778-4852

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Mailing Address

SCOTT EDWARDS PA
3228 POST WOODS DR
APT I
ATLANTA, GA
ZIP 30339
Phone:


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID8820265101
PECOS Enrollment IDI20120127000489
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 86.6
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 67
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 73.4
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 84.1
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Edwards is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
EMORY UNIVERSITY HOSPITAL MIDTOWN550 PEACHTREE STREET, NE
ATLANTA, GA 30308
(404) 686-4411Acute Care Hospitals110078

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
R74287MEDICARE UPIN (02)
43ZCBCR83MEDICARE ID-TYPE UNSPECIFIED (04)GA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013092436
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 4 + 4 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013092436 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194725085 THERMUTUS MCKENZIE MD
Individual
Obstetrics & Gynecology550 PEACHTREE ST STE 1615
ATLANTA, GA 30308
(404) 577-8180
1235126160DR. ARTHUR L. RAINES JR. M.D.
Individual
Orthopaedic Surgery550 PEACHTREE ST 19TH FLOOR
ATLANTA, GA 30308
(404) 215-2000
1700873502DR. THOMAS I. ROSS M.D.
Individual
Orthopaedic Surgery550 PEACHTREE ST 19TH FLOOR
ATLANTA, GA 30308
(404) 215-2000
1104887736 MARK SEAN BENNETT CRNA
Individual
Nurse Anesthetist, Certified Registered550 PEACHTREE ST SUITE 1600
ATLANTA, GA 30308
(404) 253-6820
1083677645 JOHN ROBERT MOLINARO M.D.
Individual
Anesthesiology550 PEACHTREE ST STE 1600
ATLANTA, GA 30308
(404) 253-6820
1932166766 ALBERT LOSKEN MD
Individual
Plastic Surgery550 PEACHTREE ST 8TH FLOOR STE 4300
ATLANTA, GA 30308
(404) 686-8143
1023069820 CAROL A GOURLEY CNM
Individual
Midwife550 PEACHTREE ST
ATLANTA, GA 30308
(404) 686-3643
1609803667 MARY DOLAN M.D.
Individual
Obstetrics & Gynecology550 PEACHTREE ST 9TH FLOOR MOT
ATLANTA, GA 30308
(404) 778-3401
1376570747 REBECCA ALMAND CNM
Individual
Obstetrics & Gynecology (Obstetrics)550 PEACHTREE ST 9TH FLOOR MOT
ATLANTA, GA 30308
(404) 778-3401
1982631453 STEPHEN WEISS M.D.
Individual
Obstetrics & Gynecology (Gynecology)550 PEACHTREE ST 9TH FLOOR MOT
ATLANTA, GA 30308
(404) 778-3401
1598793648 JESSICA ARLUCK
Individual
Obstetrics & Gynecology (Obstetrics)550 PEACHTREE ST 9TH FLOOR MOT
ATLANTA, GA 30308
(404) 778-3401
1598794729THE EMORY CLINIC INC
Organization
Pain Medicine (Pain Medicine)550 PEACHTREE ST
ATLANTA, GA 30308
(404) 686-2410
1508890187 MICHAEL MURPHY MD
Individual
Anesthesiology550 PEACHTREE ST ANESTHESIOLOGY 2ND FLOOR
ATLANTA, GA 30308
(404) 778-4852
1114951621 JENNIFER ETKIND MD
Individual
Anesthesiology550 PEACHTREE ST ANESTHESIOLOGY MOT 2
ATLANTA, GA 30308
(404) 778-4852
1376566893 JANE MASHBURN CNM
Individual
Obstetrics & Gynecology (Obstetrics)550 PEACHTREE ST 9TH FLOOR MOT
ATLANTA, GA 30308
(404) 778-3401
1922116755DR. WILLIAM LOUIS JOHNSON III DDS
Individual
Dentist550 PEACHTREE ST SUITE 1160
ATLANTA, GA 30308
(404) 524-0007
1801989660 KARA YVETTE BOTTERS
Individual
Internal Medicine (Cardiovascular Disease)550 PEACHTREE ST
ATLANTA, GA 30308
(404) 616-2501
1619063153 DEDRA I BLALOCK
Individual
Internal Medicine (Cardiovascular Disease)550 PEACHTREE ST
ATLANTA, GA 30308
(404) 686-7431
1316022460 BEVERLY RYAN PA
Individual
Anesthesiologist Assistant550 PEACHTREE ST ANESTHESIOLOGY
ATLANTA, GA 30308
(404) 778-4852
1184709156 JAMES STAPLES MD
Individual
Anesthesiology550 PEACHTREE ST
ATLANTA, GA 30308
(404) 778-4852

Frequently Asked Questions

What is Scott Edwards PA NPI number?

The NPI number assigned to Scott Edwards PA is 1013092436, registered as an "individual" on October 25, 2006

Where is Scott Edwards PA located?

The provider is located at 550 Peachtree St Anesthesiology 2nd Floor Atlanta, Ga 30308 and the phone number is (404) 778-4852

Which is Scott Edwards PA specialty?

The provider's speciality is Anesthesiologist Assistant

How many years of experience does Scott Edwards PA have?

The provider has more than 29 years of experience. He graduated from Emory University School Of Medicine in 1994.

What insurance does Scott Edwards PA accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Scott Edwards PA affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: EMORY UNIVERSITY HOSPITAL MIDTOWN. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Scott Edwards PA was last updated on October 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]