STEVEN RAY EDMONDSON MD
NPI 1164429890
Obstetrics & Gynecology in Fort Worth, TX

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
3025 N TARRANT PKWY, SUITE 240, FORT WORTH, TX 76177(817) 431-1500 Get Directions Write a Review

NPPES record last updated: October 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2016, Nov 10, 2015 (2 updates tracked since 2015).

About Steven Ray Edmondson Md NPPES

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

STEVEN RAY EDMONDSON MD (NPI 1164429890) is an individual obstetrics & gynecology provider in Fort Worth, Texas, licensed in Texas (G8830) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1988).

NPPES Registry Identity

NPI1164429890
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSTEVEN RAY EDMONDSONCredential: MD
Location Address3025 N TARRANT PKWY, SUITE 240Fort Worth, TX 76177-8620
Mailing Address3025 N Tarrant Pkwy, Suite 240Fort Worth, TX 76177-8620 · (817) 431-1500
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1988
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 15, 20162 updates tracked since enumeration
NPI 1164429890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · G8830
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License G8830 (TX)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License G8830 (TX)
3025 N TARRANT PKWY, Fort Worth, TX 76177

Other Names 1

Professional Name (2)Steven Ray Edmondson Md, Pa

Other Identifiers 9

Medicare UPINC15418TX
Medicaid131769502TX
Medicaid131769508TX
Other83022YTX · Blue Cross Blue Shield
Medicaid131769509TX
Medicaid131769510TX
Medicaid109380901TX
Other0737147TX · United Healthcare
Other2357545TX · Aetna

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

Steven Ray Edmondson 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 ID8820272917
PECOS Enrollment IDI20110414000404
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76177 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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 Steven Edmondson's NPI number?

The NPI number for Steven Edmondson is 1164429890. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Steven Ray Edmondson MD, PA.

Where is Steven Edmondson located?

Steven Edmondson practices at 3025 N Tarrant Pkwy Suite 240, Fort Worth, TX 76177. The listed phone number is (817) 431-1500.

What is Steven Edmondson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Steven Edmondson enrolled in Medicare?

Yes. Steven Edmondson 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 Steven Edmondson accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and Oscar Insurance Company list Steven Edmondson 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 Steven Edmondson was last updated on October 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.