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DR. EDGAR XAVIER CORREA DPM
NPI 1194708263
Podiatrist in Raleigh, NC

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
79.14/100
CMS Quality Rating
11200 GOVERNOR MANLY WAY, SUITE 309, RALEIGH, NC 27614(919) 562-9410(919) 562-2948 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jan 17, 2018 (2 updates tracked since 2018).

About Dr. Edgar Xavier Correa Dpm NPPES

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

DR. EDGAR XAVIER CORREA DPM (NPI 1194708263) is an individual podiatrist in Raleigh, North Carolina, licensed in North Carolina (405) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194708263
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. EDGAR XAVIER CORREACredential: DPM
Location Address11200 GOVERNOR MANLY WAY, SUITE 309Raleigh, NC 27614-8599
Mailing AddressPo Box 1107Wake Forest, NC 27588-1107 · (919) 562-9410 · Fax (919) 562-2948
Phone(919) 562-9410
Fax(919) 562-2948
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1996
Enumeration DateNovember 22, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1194708263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NC · 405
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

11200 GOVERNOR MANLY WAY, Raleigh, NC 27614
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Secondary Practice Locations 4

Location 1103 Professional Park Ste AOxford, NC 27565-2581 · Phone (919) 562-9410 · Fax (919) 562-2948
Location 26602 Knightdale Blvd Ste 310Knightdale, NC 27545-6526 · Phone (919) 562-9410 · Fax (919) 562-2948
Location 32605 Blue Ridge Rd Ste 320Raleigh, NC 27607-6475 · Phone (919) 562-9410 · Fax (919) 562-2948
Location 4200 W Parkview Dr Ste BHenderson, NC 27536-5958 · Phone (919) 562-9410 · Fax (919) 562-2948

Other Identifiers 8

Other2652188Aetna
Other46486Partners
Other176036Wellpath
Other3377199011Cigna
Other0807JBcbs
Other2119980Mamsi Raleigh Office
Other211980Alliance
Other4119980Mamsi Durham Office

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Edgar Xavier Correa Dpm 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 ID9133279961
PECOS Enrollment IDI20120430000445
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 11

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.

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.
153 services104 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.
153 services86 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
108 services45 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
107 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
85 services85 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.
61 services61 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27614 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

79.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.25
Promoting Interoperability100
Improvement Activities40
Cost68.22

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
49%235 patients3/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%3,402 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%920 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
46%381 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
41%267 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%733 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
55%1,933 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%1,480 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 735 patients
Patients tobacco: 63% · 48 patients
97%735 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,932 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
77%1,932 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 381 patients
2%381 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
47%1,932 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
3 suppliers25 claims25 services$226.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DERRICK BRIDGES ATC,LAT
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Wake County (919) 562-9410
WILLIAM GRANT JR. MD
Family Medicine
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Wake County (919) 747-5270
KAYTLIN HALES ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Wake County (919) 562-9410
SAMUEL A KIBROM PT
Physical Therapist
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Wake County (919) 562-9410
DR. ALISON P GUPTILL M.D.
Family Medicine
11200 GOVERNOR MANLY WAY, SUITE 205
RALEIGH, NC 27614
Wake County (919) 570-7700
TAYLOR BEAVERS LAT, ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614
Wake County (330) 819-7243
MR. THOMAS ALAN CONE II M.S., LAT, ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, UNIT 309
RALEIGH, NC 27614
Wake County (919) 562-9410
MISS KELSEY LEIGH MANCINI LAT, ATC
Specialist/Technologist (Athletic Trainer)
11200 GOVERNOR MANLY WAY, SUITE 309
RALEIGH, NC 27614
Wake County (919) 562-9410

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 Edgar Correa's NPI number?

The NPI number for Edgar Correa is 1194708263. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Edgar Correa located?

Edgar Correa practices at 11200 Governor Manly Way Suite 309, Raleigh, NC 27614. The listed phone number is (919) 562-9410.

What is Edgar Correa's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Edgar Correa enrolled in Medicare?

Yes. Edgar Correa 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 Edgar Correa accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Edgar Correa 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.

Is Edgar Correa affiliated with any hospitals?

According to CMS data, Edgar Correa is affiliated with Wakemed, Raleigh Campus and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Correa was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.