DR. EDWARD JAMES MAUCH M.D.
NPI 1063628154
Radiology - Diagnostic Radiology in Detroit, MI

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
4201 SAINT ANTOINE ST, DRH 3L-8, DEPT OF RADIOLOGY, DETROIT, MI 48201(313) 745-3430 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2025, Sep 6, 2024, Jun 7, 2024 and 1 more (4 updates tracked since 2023).

About Dr. Edward James Mauch M.d. NPPES

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

DR. EDWARD JAMES MAUCH M.D. (NPI 1063628154) is an individual diagnostic radiology provider in Detroit, Michigan, licensed in Michigan (4301081864) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Wayne State University School Of Medicine (2003).

NPPES Registry Identity

NPI1063628154
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. EDWARD JAMES MAUCHCredential: M.D.
Location Address4201 SAINT ANTOINE ST, DRH 3L-8, DEPT OF RADIOLOGYDetroit, MI 48201-2153
Mailing Address4415 Fox Hill DrSterling Heights, MI 48310-3371 · (313) 407-7950
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2003
Enumeration DateMay 15, 2007
Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
NPI 1063628154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301081864
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4201 SAINT ANTOINE ST, Detroit, MI 48201

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. Edward James Mauch 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 ID4183775745
PECOS Enrollment IDI20090623000138
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 45

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
509 services493 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
496 services490 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
459 services445 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
215 services214 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
190 services190 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
131 services130 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Ascension River District Hospital

Acute Care Hospitals · East China, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230241
Location4100 River RdEast China, MI 48054 · St. Clair County
Emergency services

Mckenzie Health System

Critical Access Hospitals · Sandusky, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231314
Location120 N Delaware StreetSandusky, MI 48471 · Sanilac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

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 Edward Mauch's NPI number?

The NPI number for Edward Mauch is 1063628154. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Edward Mauch located?

Edward Mauch practices at 4201 Saint Antoine St Drh 3l-8, Dept Of Radiology, Detroit, MI 48201. The listed phone number is (313) 745-3430.

What is Edward Mauch's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edward Mauch enrolled in Medicare?

Yes. Edward Mauch 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 Edward Mauch accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Edward Mauch 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 Edward Mauch affiliated with any hospitals?

According to CMS data, Edward Mauch is affiliated with Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus, Mclaren Port Huron, Ascension River District Hospital and Mckenzie Health System.

When was this NPI record last updated?

The NPPES record for Edward Mauch was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.