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WILLIAM JOHN EDMISTON JR. MD
NPI 1053420190
Pain Medicine - Interventional Pain Medicine in Mooresville, NC

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
170 MEDICAL PARK RD, SUITE 301, MOORESVILLE, NC 28117(704) 360-4378(704) 696-8150 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William John Edmiston Jr. Md NPPES

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

WILLIAM JOHN EDMISTON JR. MD (NPI 1053420190) is an individual interventional pain medicine provider in Mooresville, North Carolina, licensed in North Carolina (200000410) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1053420190
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameWILLIAM JOHN EDMISTON JR.Credential: MD
Location Address170 MEDICAL PARK RD, SUITE 301Mooresville, NC 28117-8540
Mailing Address170 Medical Park Rd, Suite 301Mooresville, NC 28117-8540 · (704) 360-4378 · Fax (704) 696-8150
Phone(704) 360-4378
Fax(704) 696-8150
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1053420190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NC · 200000410
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
170 MEDICAL PARK RD, Mooresville, NC 28117
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Other Identifiers 1

Medicaid891269NNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

William John Edmiston Jr. 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.

PECOS PAC ID1759416050
PECOS Enrollment IDI20100311000678
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
506 services135 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
171 services13 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
54 services37 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.
28 services28 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
24 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Iredell County (704) 235-2580
LAILA NOOR MENON M.D.
Internal Medicine (Gastroenterology)
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 664-9506
PATRICK L. FRY MD
Internal Medicine
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Iredell County (704) 663-4443
JOHN MICHAEL LESHER MD
Physical Medicine & Rehabilitation
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 664-9506
PAULA GLOVER HARRIS FNP
Nurse Practitioner (Family)
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Iredell County (704) 663-4443
LAKE NORMAN HEMATOLOGY AND ONCOLOGY SPECIALISTS PA
Internal Medicine (Hematology & Oncology)
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Iredell County (704) 799-3946
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117
Iredell County (704) 660-4480
ALEJANDRA MARIA TORO BEJARANO MD
Obstetrics & Gynecology
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 801-7370

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 William Edmiston's NPI number?

The NPI number for William Edmiston is 1053420190. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is William Edmiston located?

William Edmiston practices at 170 Medical Park Rd Suite 301, Mooresville, NC 28117. The listed phone number is (704) 360-4378.

What is William Edmiston's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is William Edmiston enrolled in Medicare?

Yes. William Edmiston 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 William Edmiston accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list William Edmiston 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 William Edmiston affiliated with any hospitals?

According to CMS data, William Edmiston is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for William Edmiston was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.