MARK A EDELMAN M.D.
NPI 1063405819
Radiology - Vascular & Interventional Radiology in Stamford, CT

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
1290 SUMMER ST STE 2100, STAMFORD, CT 06905(855) 830-8346 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A Edelman M.d. NPPES

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

MARK A EDELMAN M.D. (NPI 1063405819) is an individual vascular & interventional radiology provider in Stamford, Connecticut, licensed in Connecticut (51858) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York University School Of Medicine (1986).

NPPES Registry Identity

NPI1063405819
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameMARK A EDELMANCredential: M.D.
Location Address1290 SUMMER ST STE 2100Stamford, CT 06905-5340
Mailing Address210 Westchester AveWhite Plains, NY 10604-2901 · (914) 682-6430
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1986
Enumeration DateAugust 26, 2005
Last NPPES UpdateJune 4, 2019
NPI 1063405819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses Licensed in CT · 51858 Licensed in IL · 036094621 Licensed in NY · 172012-1
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 036094621 (IL)
1290 SUMMER ST STE 2100, Stamford, CT 06905

Secondary Practice Locations 2

Location 140 Cross St Ste 320Norwalk, CT 06851-4661 · Phone (855) 830-8346
Location 2700 White Plains Rd Ste 241Scarsdale, NY 10583-5013 · Phone (855) 830-8346

Other Identifiers 5

Medicaid036094621IL
Medicaid01301766NY
Other202926IL · Group Ptan
Medicaid008047540CT
Other212545IL · Group Ptan

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

Mark A Edelman 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 ID7810050234
PECOS Enrollment IDI20140805000488
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 9

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.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
394 services165 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
172 services140 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
114 services66 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.
106 services106 patients
Injection of chemical agent into multiple incompetent veins of leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
92 services45 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.
60 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06905 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES

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

Surgery (Vascular Surgery)
1290 SUMMER ST STE 2100
STAMFORD, CT 06905

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 Mark Edelman's NPI number?

The NPI number for Mark Edelman is 1063405819. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Mark Edelman located?

Mark Edelman practices at 1290 Summer St Ste 2100, Stamford, CT 06905. The listed phone number is (855) 830-8346.

What is Mark Edelman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Mark Edelman enrolled in Medicare?

Yes. Mark Edelman 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.

When was this NPI record last updated?

The NPPES record for Mark Edelman was last updated on June 4, 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.