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DR. DAVID FRANKLIN EDWARDS M.D
NPI 1053404871
Family Medicine in Green Bay, WI

Active since October 02, 2006PECOS Enrolled
3263 EATON RD, GREEN BAY, WI 54311(920) 433-6000(920) 433-6009 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2019, Sep 4, 2019, Oct 30, 2018 and 2 more (5 updates tracked since 2015).

About Dr. David Franklin Edwards M.d NPPES

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

DR. DAVID FRANKLIN EDWARDS M.D (NPI 1053404871) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (64847-20) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1053404871
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID FRANKLIN EDWARDSCredential: M.D
Location Address3263 EATON RDGreen Bay, WI 54311-6830
Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 445-7226 · Fax (920) 445-7229
Phone(920) 433-6000
Fax(920) 433-6009
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 11, 20195 updates tracked since enumeration
✔ NPI 1053404871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 64847-20✔ Licensed in TN · 38726
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME 84855 (FL), MD.31095 (AL), 38726 (TN), 0101057916 (VA)
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 38726 (TN)
3263 EATON RD, Green Bay, WI 54311
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11535 Slate Creek RdGrundy, VA 24614-6974 · Phone (276) 935-1000 · Fax (276) 935-4959
Location 2245 Medical Park DrMarion, VA 24354-1100 · Phone (276) 378-1000 · Fax (276) 378-1105
Location 31630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 433-6000 · Fax (920) 430-4719
Location 4601 S Center AveMerrill, WI 54452-3404 · Phone (715) 536-5511

Other Identifiers 6

Medicaid010256623VA
OtherP00364636TN · Railroad Medicare
Other4089353TN · Bcbs
Other000000361786KY · Bcbs
Medicaid3897971TN
Medicaid64088636KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Franklin Edwards M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

9

Medicare enrollment records show David Edwards reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physician Associates Of Wisconsin Sc
44 mi
Emergency Medicine
3100 SHORE DR
Marinette, WI 54143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 59 clinicians in this Medicare group
NPI 1396119426 (715) 735-4200
Watertown Physician Practices LLC
96 mi
Mental Health (Including Community Mental Health Center)
129 HOSPITAL DR
Watertown, WI 53098
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group
NPI 1760866891 (920) 252-4800
Aspirus Merrill Hospital & Clinics, Inc.
100 mi
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
NPI 1124084678 (715) 536-5511
Mile Bluff Medical Center Inc
112 mi
Rural Health
28 COMMERCE ST
Wisconsin Dells, WI 53965
  • Reassigned Medicare billing, Wisconsin enrollment
  • 189 clinicians in this Medicare group
NPI 1487734380 (608) 254-5888
Western Virginia Regional Emergency Physicians, LLC
589 mi
Emergency Medicine
100 15TH ST NW
Norton, VA 24273
  • Reassigned Medicare billing, Virginia enrollment
  • 207 clinicians in this Medicare group
NPI 1386183028 (276) 439-1000
United Emergency Services, Inc.
678 mi
Emergency Medicine
100 HOSPITAL ST
Booneville, MS 38829
  • Reassigned Medicare billing, Virginia enrollment
  • 29 clinicians in this Medicare group
NPI 1326007915 (662) 720-5000
Cmh Physician Services, LLC
740 mi
Hospitalist
125 BUENA VISTA CIR
South Hill, VA 23970
  • Reassigned Medicare billing, Virginia enrollment
  • 241 clinicians in this Medicare group
NPI 1386028793 (434) 447-3151
Southland Ems At Weems Pl
1,029 mi
Emergency Medicine
135 AVENUE G
Apalachicola, FL 32320
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
NPI 1124302443 (850) 653-8853
Southland Hospitalist At Weems Pl
1,029 mi
Emergency Medicine
135 AVENUE G
Apalachicola, FL 32320
  • Reassigned Medicare billing, Florida enrollment
  • 28 clinicians in this Medicare group
NPI 1801170113 (850) 653-8853

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 54311 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

DR. RACHAEL E. VANDEN LANGENBERG D.O.
Family Medicine
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
ALEXANDER LEE PETERSON D-PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
MS. BARBARA A PESOLA APNP
Nurse Practitioner (Family)
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
NEESHA DAVIES APNP
Nurse Practitioner (Family)
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6000
SARAH SUE FORD PT, DPT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
JOSEPH KUCKSDORF PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
ANTHONY JACOB SOBRILSKY PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
TODD A WINNEY PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700

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 David Edwards's NPI number?

The NPI number for David Edwards is 1053404871. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is David Edwards located?

David Edwards practices at 3263 Eaton Rd, Green Bay, WI 54311. The listed phone number is (920) 433-6000.

What is David Edwards's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Edwards enrolled in Medicare?

Yes. David Edwards is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Edwards reassigns Medicare benefits to 9 organizations: Emergency Physician Associates Of Wisconsin Sc (Marinette, WI), Watertown Physician Practices LLC (Watertown, WI), Aspirus Merrill Hospital & Clinics, Inc. (Merrill, WI), Mile Bluff Medical Center Inc (Wisconsin Dells, WI), Western Virginia Regional Emergency Physicians, LLC (Norton, VA) and 4 more organizations, listed in the Medicare section above. 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 David Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Edwards accept?

Health plans from Oscar Health and Oscar Insurance Company list David 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.

When was this NPI record last updated?

The NPPES record for David Edwards was last updated on September 11, 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.