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KEVIN JOSEPH EDGEWORTH PA-C
NPI 1174360234
Physician Assistant in Toms River, NJ

Active since July 15, 2024PECOS EnrolledAccepts Medicare Assignment
99 NJ-37, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Jul 15, 2024 (2 updates tracked since 2024).

About Kevin Joseph Edgeworth Pa-c NPPES

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

KEVIN JOSEPH EDGEWORTH PA-C (NPI 1174360234) is an individual physician assistant in Toms River, New Jersey, licensed in New Jersey (25MP00864600) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174360234
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN JOSEPH EDGEWORTHCredential: PA-C
Location Address99 NJ-37Toms River, NJ 08755
Mailing Address23 Stratford DrFreehold, NJ 07728-2734 · (908) 770-6216
Phone(732) 557-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 15, 2024
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1174360234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00864600
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
99 NJ-37, Toms River, NJ 08755
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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

Kevin Joseph Edgeworth Pa-c 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 ID3072053891
PECOS Enrollment IDI20240909000174
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Other Providers at the Same Location NPPES 18

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

ASHLEY ASENSIO DO
Emergency Medicine
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (610) 790-4838
THOMAS GERARD FULCINITI
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
CANDICE NICOLE TATE
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
MILAN B PATEL
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
SHEALIN DONOVAN
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
CHRISTOPHER KESHISHIAN
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
MUHAMMAD SAIFULLAH TIWANA
Internal Medicine
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
JOSEPH M. BIBAWY D.O.
Neurological Surgery
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (718) 818-2419

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 Kevin Edgeworth's NPI number?

The NPI number for Kevin Edgeworth is 1174360234. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Kevin Edgeworth located?

Kevin Edgeworth practices at 99 Nj-37, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Kevin Edgeworth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Edgeworth enrolled in Medicare?

Yes. Kevin Edgeworth 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.

Is Kevin Edgeworth affiliated with any hospitals?

According to CMS data, Kevin Edgeworth is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Edgeworth was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.