MR. DAVID O. EDMUNDS
NPI 1114206034
Optometrist in Provo, UT

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
89.78/100
CMS Quality Rating
1055 N 300 W STE 204, PROVO, UT 84604(801) 357-7373(801) 357-7217 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Mar 17, 2018, Aug 3, 2017 (3 updates tracked since 2017).

About Mr. David O. Edmunds NPPES

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

MR. DAVID O. EDMUNDS (NPI 1114206034) is an individual optometrist in Provo, Utah, licensed in Utah (9037744-9934) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Illinois College Of Optometry At Chicago (2014).

NPPES Registry Identity

NPI1114206034
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. DAVID O. EDMUNDS
Location Address1055 N 300 W STE 204Provo, UT 84604-3374
Mailing Address7321 Balmer St Bldg 570Hill Afb, UT 84056-5012
Fax(801) 357-7217
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2014
Enumeration DateAugust 9, 2011
Last NPPES UpdateOctober 22, 20193 updates tracked since enumeration
NPI 1114206034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in UT · 9037744-9934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1055 N 300 W STE 204, Provo, UT 84604

Secondary Practice Location 1

Location 13241 S Michigan AveChicago, IL 60616-4201 · Phone (801) 473-9718

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

Mr. David O. Edmunds 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 ID8729342480
PECOS Enrollment IDI20180503002037
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 5

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
216 services201 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
205 services196 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
76 services52 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
35 services35 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

89.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.24
Promoting Interoperability100
Improvement Activities40
Cost70.7

Other Providers at the Same Location NPPES 9

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

Ophthalmology
1055 N 300 W STE 204
PROVO, UT 84604
Eyewear Supplier
1055 N 300 W STE 204
PROVO, UT 84604
Optometrist
1055 N 300 W STE 204
PROVO, UT 84604
Eyewear Supplier
1055 N 300 W STE 204
PROVO, UT 84604
Optometrist
1055 N 300 W STE 204
PROVO, UT 84604
Optometrist
1055 N 300 W STE 204
PROVO, UT 84604
Ophthalmology
1055 N 300 W STE 204
PROVO, UT 84604
Ophthalmology
1055 N 300 W STE 204
PROVO, UT 84604

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 David Edmunds's NPI number?

The NPI number for David Edmunds is 1114206034. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is David Edmunds located?

David Edmunds practices at 1055 N 300 W Ste 204, Provo, UT 84604. The listed phone number is (801) 357-7373.

What is David Edmunds's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David Edmunds enrolled in Medicare?

Yes. David Edmunds 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 David Edmunds accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Providence Health Plan and 3 other insurers list David Edmunds 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 David Edmunds was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.