DR. EDWARD THORBURN WRIGHT M.D.
NPI 1164428140
Urology in Danville, VA

Q: What is Edward Wright's NPI number?

The NPI number for Edward Wright is 1164428140. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Q: What is Edward Wright's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Wright was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 23, 2005PECOS EnrolledAccepts Medicare Assignment

95.24/100

CMS Quality Rating

1040 MAIN ST, DANVILLE, VA 24541(434) 792-1433(434) 797-2807 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Edward Thorburn Wright M.d. NPPES

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

DR. EDWARD THORBURN WRIGHT M.D. (NPI 1164428140) is an individual urology provider in Danville, Virginia, licensed in Virginia (0101248303) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1990).

NPPES Registry Identity

NPI1164428140

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. EDWARD THORBURN WRIGHTCredential: M.D.

Location Address1040 MAIN STDanville, VA 24541-1816

Mailing Address1040 Main StDanville, VA 24541-1816 · (434) 792-1433 · Fax (434) 797-2807

Phone(434) 792-1433

Fax(434) 797-2807

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1990

Enumeration DateJune 23, 2005

Last NPPES UpdateJuly 10, 2012

✔ NPI 1164428140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in VA · 0101248303✔ Licensed in NC · 96-00428

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1040 MAIN ST, Danville, VA 24541

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Other Identifiers 9

Other1164428140VA · Cigna

Medicare PIN2222495CNC

Medicaid8989321NC

Other414539VA · Anthem

Medicare PINVAA104019VA

OtherP0086324VA · Railroad Medicare

Medicare UPING26806

Medicaid1164428140VA

Medicare PIN2222495NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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. Edward Thorburn Wright M.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 ID6800936717

PECOS Enrollment IDI20100106000187, I20110127000942

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 25

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

620 services440 patients

Leuprolide injectable, camcevi, 1 mg J1952

Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.

546 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

241 services205 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

190 services25 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.

176 services156 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.

146 services127 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

137 services112 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

77 services27 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

60 services22 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

52 services47 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

33 services33 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

30 services23 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services25 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

25 services25 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

24 services24 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

22 services22 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

21 services21 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

19 services18 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

18 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

13 services13 patients

Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope 52001

This procedure involves using a small tube with a camera (endoscope) to view and clear multiple blood clots from the bladder and urethra. It involves washing (irrigation) and removing clots to restore normal flow.

13 services12 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

11 services11 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

11 services11 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210029

Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County

Emergency services Birthing friendly

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

Sovah Health Danville

Acute Care Hospitals · Danville, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490075

Location142 South Main StreetDanville, VA 24541 · Danville City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

95.24/100

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

Scored as part of a group practice

Quality

86.28

Promoting Interoperability

100

Improvement Activities

Cost

82.94

Reported Quality Measures

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

100%625 patients5/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

51%688 patients3/55-star benchmark: 85%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

97%210 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,750 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

81%936 patients3/55-star benchmark: 100%

Patient-Generated Health Data

Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.

7%1,270 patients

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

12%1,270 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

34%633 patients2/55-star benchmark: 90%

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…

94%1,168 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 96% · 340 patients

Patients tobacco: 91% · 340 patients

72%61 patients3/55-star benchmark: 98%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

99%1,270 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

1%1,270 patients1/55-star benchmark: 75%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

60%25 patients3/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 633 patients

0%633 patients5/55-star benchmark: 100%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

2%1,270 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers12 claims2,282 services$1.49 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers19 claims4,650 services$6.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

DR. FLORENCIO B GARCIA JR. MD

Internal Medicine (Nephrology)

1040 MAIN ST
DANVILLE, VA 24541

Danville City (434) 792-1433

NAMRITA BAVEJA M.D.

Internal Medicine (Nephrology)

1040 MAIN ST
DANVILLE, VA 24541

Danville City (434) 792-1433

DR. JOSEPH M CARBONE MD

Urology

1040 MAIN ST
DANVILLE, VA 24541

Danville City (434) 792-1433

DR. SUMEET SUBHERWAL MD

Internal Medicine (Cardiovascular Disease)

1040 MAIN ST
DANVILLE, VA 24541

Danville City (434) 792-1433

MS. JACQUELINE WILLIAMSON ADKINS FNP

Nurse Practitioner (Family)

1040 MAIN ST, DANVILLE UROLOGIC CLINIC
DANVILLE, VA 24541

Danville City (434) 792-1433

MRS. ELIZABETH L WELLS NP

Nurse Practitioner (Acute Care)

1040 MAIN ST
DANVILLE, VA 24541

Danville City (434) 792-1433

DR. FRANKLIN W MADDUX MD

Internal Medicine (Nephrology)

1040 MAIN ST
DANVILLE, VA 24541

Danville City (434) 792-1433

DANVILLE UROLOGIC CLINIC INC

Internal Medicine (Nephrology)

1040 MAIN ST
DANVILLE, VA 24541

Danville City (434) 792-1433

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 Edward Wright's NPI number?

The NPI number for Edward Wright is 1164428140. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Edward Wright located?

Edward Wright practices at 1040 Main St, Danville, VA 24541. The listed phone number is (434) 792-1433.

What is Edward Wright's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Edward Wright enrolled in Medicare?

Yes. Edward Wright 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 Edward Wright accept?

Health plans from AmeriHealth Caritas Next list Edward Wright 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 Edward Wright affiliated with any hospitals?

According to CMS data, Edward Wright is affiliated with Johns Hopkins Bayview Medical Center, Sentara Halifax Regional Hospital and Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Edward Wright was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.