DR. EDSON DE GUZMAN MD
NPI 1174512198
Internal Medicine - Cardiovascular Disease in Midlothian, VA

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
87.16/100
CMS Quality Rating
13572 WATERFORD PL, MIDLOTHIAN, VA 23112(804) 560-8782(804) 525-2525 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edson De Guzman Md NPPES

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

DR. EDSON DE GUZMAN MD (NPI 1174512198) is an individual cardiovascular disease provider in Midlothian, Virginia, licensed in Virginia (0101057505) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1174512198
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. EDSON DE GUZMANCredential: MD
Location Address13572 WATERFORD PLMidlothian, VA 23112-3928
Mailing Address13572 Waterford PlMidlothian, VA 23112-3928 · (804) 560-8828 · Fax (804) 525-2520
Fax(804) 525-2525
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 21, 2005
Last NPPES UpdateMarch 7, 2023
NPI 1174512198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101057505
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101057505 (VA)
13572 WATERFORD PL, Midlothian, VA 23112

Other Identifiers 1

Medicaid005862833VA

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. Edson De Guzman 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 ID7618942939
PECOS Enrollment IDI20040831000584
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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,536 services1,092 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.
955 services579 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.
828 services593 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
489 services466 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
392 services97 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
384 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 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.

87.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.32
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine
13572 WATERFORD PL
MIDLOTHIAN, VA 23112
Nurse Practitioner
13572 WATERFORD PL
MIDLOTHIAN, VA 23112
Internal Medicine (Cardiovascular Disease)
13572 WATERFORD PL
MIDLOTHIAN, VA 23112
Internal Medicine (Interventional Cardiology)
13572 WATERFORD PL
MIDLOTHIAN, VA 23112

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 Edson De Guzman's NPI number?

The NPI number for Edson De Guzman is 1174512198. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Edson De Guzman located?

Edson De Guzman practices at 13572 Waterford Pl, Midlothian, VA 23112. The listed phone number is (804) 560-8782.

What is Edson De Guzman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Edson De Guzman enrolled in Medicare?

Yes. Edson De Guzman 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 Edson De Guzman affiliated with any hospitals?

According to CMS data, Edson De Guzman is affiliated with Bon Secours St Marys Hospital, Cjw Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Edson De Guzman was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.