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CLAIRE EMILIE EDELMAN MD
NPI 1093277212
Obstetrics & Gynecology in Westfield, IN

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
19800 EAST ST STE 120, WESTFIELD, IN 46074(317) 621-7120(317) 621-7119 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Apr 5, 2019 (2 updates tracked since 2019).

About Claire Emilie Edelman Md NPPES

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

CLAIRE EMILIE EDELMAN MD (NPI 1093277212) is an individual obstetrics & gynecology provider in Westfield, Indiana, licensed in Indiana (01095764A) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Duke University School Of Medicine (2019).

NPPES Registry Identity

NPI1093277212
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCLAIRE EMILIE EDELMANCredential: MD
Location Address19800 EAST ST STE 120Westfield, IN 46074-3833
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone(317) 621-7120
Fax(317) 621-7119
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1093277212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IN · 01095764A✔ Licensed in CO · 70841
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
19800 EAST ST STE 120, Westfield, IN 46074
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11107 S LeMay Ave Ste 300Fort Collins, CO 80524-3955 · Phone (970) 493-7442 · Fax (970) 493-2990
Location 22500 Rocky Mountain Ave Ste 150Loveland, CO 80538-9004 · Phone (970) 493-7442 · Fax (970) 493-2990

Other Identifiers 1

Medicaid300108550IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Claire Emilie Edelman 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 ID1850624412
PECOS Enrollment IDI20250416002842
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 2

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
29 services29 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46074 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.17
Promoting Interoperability97
Improvement Activities40
Cost47.02

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.

CORY MEIXNER MD
Orthopaedic Surgery (Sports Medicine)
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (317) 621-6725
KILLEEN FINNEGAN DO
Family Medicine
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (317) 621-7444
MRS. JENI ANNE SHULL CLAYTON M.D., M.P.H.
Family Medicine
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (463) 622-9850
DANICA M VASILCHEK MD
Family Medicine
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (463) 622-9200
TAYLOR ANN DYE
Physical Therapist
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (317) 621-7120
DR. JENNIFER A PRIDDY M.D.
Obstetrics & Gynecology
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (317) 621-7120
SAMANTHA TILMON MD
Family Medicine
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (317) 621-7444
DAVID P LINTON D.O.
Obstetrics & Gynecology
19800 EAST ST STE 120
WESTFIELD, IN 46074
Hamilton County (317) 621-7120

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 Claire Edelman's NPI number?

The NPI number for Claire Edelman is 1093277212. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Claire Edelman located?

Claire Edelman practices at 19800 East St Ste 120, Westfield, IN 46074. The listed phone number is (317) 621-7120.

What is Claire Edelman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Claire Edelman enrolled in Medicare?

Yes. Claire 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.

What insurance does Claire Edelman accept?

Health plans from CareSource and UnitedHealthcare list Claire Edelman 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 Claire Edelman was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.