DR. JAMES M EDWARDS M.D.
NPI 1023125713
Orthopaedic Surgery in Cape Girardeau, MO

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
92.57/100
CMS Quality Rating
48 DOCTORS PARK, CAPE GIRARDEAU, MO 63703(573) 335-8257(573) 335-8424 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James M Edwards M.d. NPPES

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

DR. JAMES M EDWARDS M.D. (NPI 1023125713) is an individual orthopaedic surgery provider in Cape Girardeau, Missouri, licensed in Missouri (113184) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of University Of Missouri, Columbia School Of Medicine (1997).

NPPES Registry Identity

NPI1023125713
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES M EDWARDSCredential: M.D.
Location Address48 DOCTORS PARKCape Girardeau, MO 63703-4928
Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-3000 · Fax (573) 331-5073
Fax(573) 335-8424
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1997
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
NPI 1023125713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · 113184
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
48 DOCTORS PARK, Cape Girardeau, MO 63703

Accepted 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

Dr. James M Edwards 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 ID2668406273
PECOS Enrollment IDI20070917000169
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 30

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
2,736 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
547 services339 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
390 services241 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
202 services152 patients
Injection, hydrocortisone sodium succinate, up to 100 mg J1720
Hydrocortisone sodium succinate injection is a medication given to treat various conditions like allergies, skin conditions, arthritis, or breathing disorders. It works by reducing inflammation and the body's immune response. The dose, up to 100 mg, depends on your condition.
167 services106 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
143 services91 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

92.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.03
Promoting Interoperability88
Improvement Activities40

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.

Nurse Practitioner (Family)
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Physical Medicine & Rehabilitation (Sports Medicine)
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Physician Assistant
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Occupational Therapist (Hand)
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Physician Assistant
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Orthopaedic Surgery
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Orthopaedic Surgery
48 DOCTORS PARK, ORTHOPAEDIC ASSOCIATES OF SOUTHEAST MISSOURI PC
CAPE GIRARDEAU, MO 63703
Nurse Practitioner (Family)
48 DOCTORS PARK
CAPE GIRARDEAU, MO 63703

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 James Edwards's NPI number?

The NPI number for James Edwards is 1023125713. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is James Edwards located?

James Edwards practices at 48 Doctors Park, Cape Girardeau, MO 63703. The listed phone number is (573) 335-8257.

What is James Edwards's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Edwards enrolled in Medicare?

Yes. James Edwards 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.

What insurance does James Edwards accept?

Health plans from Anthem Blue Cross and Blue Shield list James Edwards 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 James Edwards affiliated with any hospitals?

According to CMS data, James Edwards is affiliated with University Of Missouri Health Care and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for James Edwards was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.