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PAULA EDELSON M.D.
NPI 1194087270
Obstetrics & Gynecology - Maternal & Fetal Medicine in Philadelphia, PA

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
800 WALNUT ST FL 11, PHILADELPHIA, PA 19107(215) 829-2345(215) 829-3365 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2021, Nov 13, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Paula Edelson M.d. NPPES

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

PAULA EDELSON M.D. (NPI 1194087270) is an individual maternal & fetal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD456450) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cherry Hill, and is a graduate of Drexel University College Of Medicine (2012).

NPPES Registry Identity

NPI1194087270
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NamePAULA EDELSONCredential: M.D.
Location Address800 WALNUT ST FL 11Philadelphia, PA 19107-5176
Mailing Address800 Walnut St Fl 11Philadelphia, PA 19107-5176 · (215) 829-2345 · Fax (215) 829-3365
Phone(215) 829-2345
Fax(215) 829-3365
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateJune 21, 20224 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
✔ NPI 1194087270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in PA · MD456450
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 25MA10918600 (NJ)
800 WALNUT ST FL 11, Philadelphia, PA 19107
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Secondary Practice Location 1

Location 11865 Route 70 ECherry Hill, NJ 08003-2005 · Phone (856) 772-3047 · Fax (856) 772-6336

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paula Edelson 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 ID2163720053
PECOS Enrollment IDI20160705000369
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Paula Edelson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
0.2 mi
Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1669860854 (215) 829-2345
Clinical Health Care Associates Of New Jersey PC
8.5 mi
Obstetrics & Gynecology
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • Also billed through NPI 1134278971 (New Jersey)
  • 36 clinicians in this Medicare group
NPI 1275662017 (215) 662-6035
Main Line Healthcare
14 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585
Regional Womens Health Group LLC
20 mi
Obstetrics & Gynecology
450 CRESSON BLVD STE 300
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 226 clinicians in this Medicare group
NPI 1750880118 (856) 669-6050
Shore Memorial Hospital
53 mi
Hematology & Oncology
1 EAST NEW YORK AVE
Somers Point, NJ 08244
  • Reassigned Medicare billing, New Jersey enrollment
  • 38 clinicians in this Medicare group
NPI 1689795338 (609) 653-3213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 5

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

MICHAL A ELOVITZ MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
800 WALNUT ST FL 11
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-2345
ALYSSA GRECO MSN, CRNP
Nurse Practitioner (Women's Health)
800 WALNUT ST FL 11
PHILADELPHIA, PA 19107
Philadelphia County (215) 316-5151
JUDITH ANNE BASEDEN CRNP
Nurse Practitioner (Obstetrics & Gynecology)
800 WALNUT ST FL 11
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-2345
ADDIE CUNNIFF
Nurse Practitioner (Obstetrics & Gynecology)
800 WALNUT ST FL 11
PHILADELPHIA, PA 19107
Philadelphia County (215) 454-3534
CELESTE P DURNWALD MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
800 WALNUT ST FL 11
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-2345

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 Paula Edelson's NPI number?

The NPI number for Paula Edelson is 1194087270. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Paula Edelson located?

Paula Edelson practices at 800 Walnut St Fl 11, Philadelphia, PA 19107. The listed phone number is (215) 829-2345.

What is Paula Edelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Paula Edelson enrolled in Medicare?

Yes. Paula Edelson 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.

Which organizations bill Medicare for Paula Edelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Edelson reassigns Medicare benefits to 5 organizations: University Of Penn-Medical Group (Philadelphia, PA), Clinical Health Care Associates Of New Jersey PC (Cherry Hill, NJ), Main Line Healthcare (Newtown Square, PA), Regional Womens Health Group LLC (Phoenixville, PA) and Shore Memorial Hospital (Somers Point, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paula Edelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Edelson accept?

Health plans from Oscar Health and Taro Health list Paula Edelson 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 Paula Edelson was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.