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DR. SANFORD EDWARDS MD
NPI 1134617681
Surgery in Westerly, RI

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
25 WELLS ST, WESTERLY, RI 02891(401) 315-5595 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, Feb 27, 2023, Oct 7, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Sanford Edwards Md NPPES

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

DR. SANFORD EDWARDS MD (NPI 1134617681) is an individual surgery provider in Westerly, Rhode Island, licensed in Rhode Island (19309) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134617681
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SANFORD EDWARDSCredential: MD
Location Address25 WELLS STWesterly, RI 02891-2922
Mailing Address25 Wells StWesterly, RI 02891-2922 · (401) 315-5595
Phone(401) 315-5595
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 30, 2018
Last NPPES UpdateJune 16, 20234 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1134617681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in RI · 19309✔ Licensed in NY · 319355
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
25 WELLS ST, Westerly, RI 02891
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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. Sanford 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 ID8921358516
PECOS Enrollment IDI20230803003070, I20230920001788
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 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.
38 services38 patients
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.
37 services31 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.
26 services21 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02891 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

DR. KEVIN JAMES TORRES DO
Emergency Medicine
25 WELLS ST
WESTERLY, RI 02891
Washington County (401) 596-6000
THE WESTERLY HOSPITAL
General Acute Care Hospital
25 WELLS ST
WESTERLY, RI 02891
Washington County (401) 596-6000
ELIZABETH GREENE
Dietitian, Registered
25 WELLS ST
WESTERLY, RI 02891
Washington County (401) 596-6000
DR. BRIAN JAMES MUSIAK PHARM.D
Pharmacist (Pharmacotherapy)
25 WELLS ST
WESTERLY, RI 02891
Washington County (401) 348-3450
JEANNE P. ANSEL PA
Physician Assistant
25 WELLS ST
WESTERLY, RI 02891
Washington County (401) 596-6000
ATLANTIC MEDICAL GROUP INC.
Surgery
25 WELLS ST
WESTERLY, RI 02891
Washington County (401) 596-6000
MRS. LINDA BROCATO RPH
Pharmacist
25 WELLS ST, WESTERLY HOSPITAL
WESTERLY, RI 02891
Washington County (401) 348-3351
JULIE BARBER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
25 WELLS ST
WESTERLY, RI 02891
Washington County (401) 348-3349

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 Sanford Edwards's NPI number?

The NPI number for Sanford Edwards is 1134617681. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Sanford Edwards located?

Sanford Edwards practices at 25 Wells St, Westerly, RI 02891. The listed phone number is (401) 315-5595.

What is Sanford Edwards's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sanford Edwards enrolled in Medicare?

Yes. Sanford 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.

Is Sanford Edwards affiliated with any hospitals?

According to CMS data, Sanford Edwards is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Sanford Edwards was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.