DR. DAVID J EDINGER O.D.
NPI 1144245200
Optometrist in Panama City, FL

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
95.16/100
CMS Quality Rating
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405(850) 784-3937(850) 522-9829 Get Directions Write a Review

NPPES record last updated: March 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David J Edinger O.d. NPPES

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

DR. DAVID J EDINGER O.D. (NPI 1144245200) is an individual optometrist in Panama City, Florida, licensed in Florida (OP 1635) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1981).

NPPES Registry Identity

NPI1144245200
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID J EDINGERCredential: O.D.
Location Address2500 MARTIN LUTHER KING JR BLVDPanama City, FL 32405-4412
Mailing Address2500 Martin Luther King Jr BlvdPanama City, FL 32405-4412 · (850) 784-3937 · Fax (850) 522-9829
Fax(850) 522-9829
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1981
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 16, 2015
NPI 1144245200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OP 1635
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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OP 1635 (FL)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License OP 1635 (FL)
2500 MARTIN LUTHER KING JR BLVD, Panama City, FL 32405

Other Identifiers 4

Medicaid078241600FL
Other19182FL · Blue Cross & Blue Shield
Medicare UPINT77515FL
Other410042390FL · Rr Medicare

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

Dr. David J Edinger O.d. 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 ID6406991827
PECOS Enrollment IDI20100309000674
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 11

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.
944 services790 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.
589 services525 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.
480 services342 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
179 services174 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
164 services154 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.
76 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

95.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost83.88

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
96%68 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 10

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

Optometrist
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Optometrist
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Ophthalmology
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Ophthalmology
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Optometrist
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Clinic/Center (Ambulatory Surgical)
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Ophthalmology
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Occupational Therapist
2500 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405

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 Edinger's NPI number?

The NPI number for David Edinger is 1144245200. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is David Edinger located?

David Edinger practices at 2500 Martin Luther King Jr Blvd, Panama City, FL 32405. The listed phone number is (850) 784-3937.

What is David Edinger's specialty?

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

Is David Edinger enrolled in Medicare?

Yes. David Edinger 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 Edinger accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list David Edinger 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 Edinger was last updated on March 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.