JAMES JOSEPH EDWARDS MD
NPI 1154438257
Ophthalmology in Parma, OH

Q: What is James Edwards's NPI number?

The NPI number for James Edwards is 1154438257. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is James Edwards's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for James Edwards was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 24, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

5500 RIDGE ROAD, #208, PARMA, OH 44129(440) 884-7181(440) 884-7738 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James Joseph Edwards Md NPPES

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

JAMES JOSEPH EDWARDS MD (NPI 1154438257) is an individual ophthalmology provider in Parma, Ohio, licensed in Ohio (35037510) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Georgetown University School Of Medicine (1974).

NPPES Registry Identity

NPI1154438257

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJAMES JOSEPH EDWARDSCredential: MD

Location Address5500 RIDGE ROAD, #208Parma, OH 44129

Mailing Address5500 Ridge Road, #208Parma, OH 44129 · (440) 884-7181 · Fax (440) 884-7738

Phone(440) 884-7181

Fax(440) 884-7738

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1974

Enumeration DateAugust 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154438257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 35037510

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

5500 RIDGE ROAD, Parma, OH 44129

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Other Identifiers 7

Other311205732026Caresource Ins Company

Other9340006Cigna Ins Company

Other0800572United Healthcare Ins

Medicaid0394989OH

Other000000118992Anthem Ins Company

Medicare UPIND67753

Medicare ID-Type UnspecifiedED0460661

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

James Joseph 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 ID1557448453

PECOS Enrollment IDI20080402000517

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 10

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.

547 services277 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.

444 services137 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.

306 services180 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).

171 services115 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

43 services38 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.

30 services30 patients

Hospital Affiliations CMS Care Compare

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360155

Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44129 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

0/100

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

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES 2

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

RIDGEPARK FAMILY PRACTICE

Clinic/Center

5500 RIDGE ROAD, SUITE 120
PARMA, OH 44129

Cuyahoga County (216) 398-5535

NAMITA SWARUP M.D., LLC

Pediatrics

5500 RIDGE ROAD, SUITE 220
PARMA, OH 44129

Cuyahoga County (440) 842-7447

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 James Edwards's NPI number?

The NPI number for James Edwards is 1154438257. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is James Edwards located?

James Edwards practices at 5500 Ridge Road #208, Parma, OH 44129. The listed phone number is (440) 884-7181.

What is James Edwards's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Edwards enrolled in Medicare?

Yes. James 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 James Edwards accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 8 other insurers list James 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.

Is James Edwards affiliated with any hospitals?

According to CMS data, James Edwards is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for James Edwards was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.