MICHAEL EDMONDS PA-C
NPI 1104333582
Physician Assistant in Exton, PA

Q: What is Michael Edmonds's NPI number?

The NPI number for Michael Edmonds is 1104333582. It was assigned to this individual provider in the NPPES registry on January 6, 2018.

Q: What is Michael Edmonds's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Edmonds was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 06, 2018PECOS EnrolledAccepts Medicare Assignment

76.41/100

CMS Quality Rating

278 EAGLEVIEW BLVD, EXTON, PA 19341(610) 561-6400 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Edmonds Pa-c NPPES

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

MICHAEL EDMONDS PA-C (NPI 1104333582) is an individual physician assistant in Exton, Pennsylvania and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104333582

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL EDMONDSCredential: PA-C

Location Address278 EAGLEVIEW BLVDExton, PA 19341-1157

Mailing Address5 Spring Hill LnNewark, DE 19711-2826 · (302) 985-1915

Phone(610) 561-6400

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 6, 2018

Last NPPES UpdateMarch 17, 2018

✔ NPI 1104333582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

278 EAGLEVIEW BLVD, Exton, PA 19341

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Secondary Practice Location 1

Location 15 Spring Hill LnNewark, DE 19711-2826 · Phone (302) 985-1915

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Michael Edmonds Pa-c 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 ID5496015349

PECOS Enrollment IDI20180214001368

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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

41 services41 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.

19 services18 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.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

76.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.02

Promoting Interoperability

Improvement Activities

Cost

43.7

Reported Quality Measures

e-Prescribing

99%1,237 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

94%985 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ELIZABETH BEYER PA-C

Physician Assistant