JOHN T EDMONDS MD
NPI 1164432993
Ophthalmology in Portsmouth, VA

Q: What is John Edmonds's NPI number?

The NPI number for John Edmonds is 1164432993. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is John Edmonds'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 John Edmonds was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 08, 2006PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

3235 ACADEMY AVE, SUITE 200, PORTSMOUTH, VA 23703(757) 483-0400 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About John T Edmonds Md NPPES

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

JOHN T EDMONDS MD (NPI 1164432993) is an individual ophthalmology provider in Portsmouth, Virginia, licensed in Virginia (0101052206) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (1987).

NPPES Registry Identity

NPI1164432993

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJOHN T EDMONDSCredential: MD

Location Address3235 ACADEMY AVE, SUITE 200Portsmouth, VA 23703-3200

Mailing Address1788 Republic Rd Ste 200Virginia Beach, VA 23454-4552 · (757) 483-0400 · Fax (757) 422-6246

Phone(757) 483-0400

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1987

Enumeration DateAugust 8, 2006

Last NPPES UpdateMay 19, 2021

NPPES CertifiedMay 19, 2021

✔ NPI 1164432993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101052206

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.

3235 ACADEMY AVE, Portsmouth, VA 23703

Open in Google Maps ↗

Other Identifiers 2

Other265131VA · Anthem

Medicaid6306373VA

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

John T Edmonds 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 ID3971637356

PECOS Enrollment IDI20101025001281

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 17

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

771 services304 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

490 services365 patients

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.

458 services453 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.

307 services291 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

265 services262 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.

236 services236 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).

198 services157 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.

193 services184 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.

151 services136 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.

149 services148 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

132 services99 patients

Removal of recurring cataract in lens capsule using a laser 66821

90 services76 patients

Measurement of corneal curvature and depth of eye 92136

55 services55 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.

39 services39 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

25 services19 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

19 services19 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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23703 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.

77.43/100

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

Scored as part of a group practice

Quality

75.24

Promoting Interoperability

100

Improvement Activities

Cost

49.54

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.

FLORDELIZA ABLAO-CHANTHAVICHITH N.P.

Nurse Practitioner

3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703

Portsmouth City (757) 686-9300

DR. JEFFREY STEPHEN WOLF M.D.

Colon & Rectal Surgery

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9653

MARY ALISON MERCER OD

Optometrist

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

DR. MARTIN PAUL HARPEN MD

Internal Medicine (Nephrology)

3235 ACADEMY AVE, STE 301
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9400

ROGER W NEWSOM MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

KRUNAL MANUBHAI PATEL MD

Internal Medicine (Nephrology)

3235 ACADEMY AVE, SUITE 301
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9400

MARK A PAVILACK MD

Ophthalmology

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

CARDIOVASCULAR SPECIALISTS, INC.

Internal Medicine (Cardiovascular Disease)

3235 ACADEMY AVE, SUITE 201
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-6420

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 John Edmonds's NPI number?

The NPI number for John Edmonds is 1164432993. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is John Edmonds located?

John Edmonds practices at 3235 Academy Ave Suite 200, Portsmouth, VA 23703. The listed phone number is (757) 483-0400.

What is John Edmonds's specialty?

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

Is John Edmonds enrolled in Medicare?

Yes. John Edmonds 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.

When was this NPI record last updated?

The NPPES record for John Edmonds was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.