JOHN LEE EDWARDS MD
NPI 1104835255
Obstetrics & Gynecology in Birmingham, AL

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
806 SAINT VINCENTS DR, SUITE 500, BIRMINGHAM, AL 35205(205) 930-1800(205) 930-1819 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Lee Edwards Md NPPES

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

JOHN LEE EDWARDS MD (NPI 1104835255) is an individual obstetrics & gynecology provider in Birmingham, Alabama, licensed in Alabama (16050) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1988).

NPPES Registry Identity

NPI1104835255
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN LEE EDWARDSCredential: MD
Location Address806 SAINT VINCENTS DR, SUITE 500Birmingham, AL 35205-1684
Mailing Address806 Saint Vincents Dr, Suite 500Birmingham, AL 35205-1684 · (205) 930-1800 · Fax (205) 930-1817
Fax(205) 930-1819
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1988
Enumeration DateAugust 7, 2006
Last NPPES UpdateAugust 23, 2016
NPI 1104835255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in AL · 16050
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.
806 SAINT VINCENTS DR, Birmingham, AL 35205

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

John Lee Edwards 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 ID2264572643
PECOS Enrollment IDI20101221000879
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.
103 services82 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
90 services90 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.
73 services73 patients
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.
71 services71 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
27 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%611 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
84%1,533 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%657 patients5/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%151 patients5/55-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.

Obstetrics & Gynecology
806 SAINT VINCENTS DR, SUITE 430
BIRMINGHAM, AL 35205
Obstetrics & Gynecology
806 SAINT VINCENTS DR, STE 500
BIRMINGHAM, AL 35205
Specialist/Technologist (Athletic Trainer)
806 SAINT VINCENTS DR, SUITE 415
BIRMINGHAM, AL 35205
Dietitian, Registered
806 SAINT VINCENTS DR, SUITE 500
BIRMINGHAM, AL 35205
Specialist/Technologist
806 SAINT VINCENTS DR, WCC STE. 620
BIRMINGHAM, AL 35205
Nurse Practitioner (Family)
806 SAINT VINCENTS DR, SUITE 430
BIRMINGHAM, AL 35205
Obstetrics & Gynecology
806 SAINT VINCENTS DR, SUITE 500
BIRMINGHAM, AL 35205
Physical Therapist
806 SAINT VINCENTS DR, WCC STE. 620
BIRMINGHAM, AL 35205

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 John Edwards's NPI number?

The NPI number for John Edwards is 1104835255. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is John Edwards located?

John Edwards practices at 806 Saint Vincents Dr Suite 500, Birmingham, AL 35205. The listed phone number is (205) 930-1800.

What is John Edwards's specialty?

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

Is John Edwards enrolled in Medicare?

Yes. John Edwards 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 John Edwards accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list John Edwards 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 John Edwards was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.