DR. EDWARD S HEMPHILL M.D.
NPI 1194711796
Orthopaedic Surgery in Lexington, VA

Q: What is Edward Hemphill's NPI number?

The NPI number for Edward Hemphill is 1194711796. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Edward Hemphill's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Hemphill was last updated on December 9, 2020. 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 September 20, 2005PECOS EnrolledAccepts Medicare Assignment

25 CROSSING LN, LEXINGTON, VA 24450(540) 463-2103(540) 463-2904 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Edward S Hemphill M.d. NPPES

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

DR. EDWARD S HEMPHILL M.D. (NPI 1194711796) is an individual orthopaedic surgery provider in Lexington, Virginia, licensed in Virginia (0101052745) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Carilion Stonewall Jackson Hospital, and is a graduate of Cincinnati College Of Medicine And Surgery (1984).

NPPES Registry Identity

NPI1194711796

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. EDWARD S HEMPHILLCredential: M.D.

Location Address25 CROSSING LNLexington, VA 24450-3778

Mailing Address25 Crossing Ln Ste 2Lexington, VA 24450-3778 · (540) 463-2103 · Fax (540) 463-2904

Phone(540) 463-2103

Fax(540) 463-2904

Sole ProprietorNo

Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 1984

Enumeration DateSeptember 20, 2005

Last NPPES UpdateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1194711796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in VA · 0101052745

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

25 CROSSING LN, Lexington, VA 24450

Open in Google Maps ↗

Other Identifiers 18

Other1194711796VA · Intotal

Other1194711796VA · Aetna

Other1194711796VA · Umwa

Other1194711796VA · Healthkeepers Plus

Medicaid1194711796VA

Other1194711796VA · Southern Health/carenet/carelink/coventry

Other1194711796VA · United Healthcare

Other1194711796VA · Virginia Health Network

OtherP01276771VA · Railroad Medicare

Other1194711796VA · Optima Health Plan

Other1194711796VA · Majestacare

Other1194711796VA · Anthem

Other1194711796VA · Humana Medicare

Other1194711796VA · Healthkeepers

Other541586601186VA · Tricare

Other1194711796VA · Gateway

Other1194711796VA · Cigna

Other1194711796VA · Virginia Premier

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

Dr. Edward S Hemphill 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 ID648342139

PECOS Enrollment IDI20120203000123

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

Medicare enrollment records show Edward Hemphill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Rockbridge Community Hospital

1.4 mi

Hospitalist

1 HEALTH CIR
Lexington, VA 24450

Reassigned Medicare billing, Virginia enrollment
208 clinicians in this Medicare group

NPI 1023663002 (540) 458-3300

Carilion Healthcare Corporation

46 mi

Multi-Specialty

213 S JEFFERSON ST STE 1006
Roanoke, VA 24011

Reassigned Medicare billing, Virginia enrollment
956 clinicians in this Medicare group

NPI 1447206370 (540) 224-5452

Carilion Medical Center

47 mi

Multi-Specialty

1906 BELLEVIEW AVE SE
Roanoke, VA 24014

Reassigned Medicare billing, Virginia enrollment
1,207 clinicians in this Medicare group

NPI 1730123472 (540) 981-7000

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

Areas of Expertise CMS Part B claims 16

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.

197 services131 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

125 services83 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.

76 services76 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

51 services42 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

51 services13 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

40 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

36 services32 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

24 services17 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

19 services15 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

16 services16 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.

15 services14 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

14 services11 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

14 services13 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

13 services13 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.

13 services13 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491304

Location1 Health CircleLexington, VA 24450 · Lexington City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

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.

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier16 claims17 services$26.22 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 7

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

DR. ADAM M ROGGIA PT, DPT, MS

Physical Therapist

25 CROSSING LN, SUITE 1
LEXINGTON, VA 24450

Lexington City (540) 463-5888

CARILION HEALTHCARE CORPORATION

Durable Medical Equipment & Medical Supplies

25 CROSSING LN
LEXINGTON, VA 24450

Lexington City (540) 510-6200

LEXINGTON ORTHOPAEDICS & SPORTS MEDICINE

Specialist

25 CROSSING LN
LEXINGTON, VA 24450

Lexington City (540) 463-2904

BLUE RIDGE PHYSICAL THERAPY PC

Clinic/Center (Physical Therapy)

25 CROSSING LN, SUITE 1
LEXINGTON, VA 24450

Lexington City (540) 463-5888

WILLIAM EDWARD MELCHIONE PT, DPT, MS, OCS

Physical Therapist

25 CROSSING LN, SUITE 1
LEXINGTON, VA 24450

Lexington City (540) 463-5888

LANCE J KIMBLE PT, DPT

Physical Therapist

25 CROSSING LN, SUITE 1
LEXINGTON, VA 24450

Lexington City (540) 463-5888

ANNA MUSSELMAN GOODBAR MPT

Physical Therapist

25 CROSSING LN, SUITE 1
LEXINGTON, VA 24450

Lexington City (540) 463-5888

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 Edward Hemphill's NPI number?

The NPI number for Edward Hemphill is 1194711796. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Edward Hemphill located?

Edward Hemphill practices at 25 Crossing Ln, Lexington, VA 24450. The listed phone number is (540) 463-2103.

What is Edward Hemphill's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Edward Hemphill enrolled in Medicare?

Yes. Edward Hemphill 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 Edward Hemphill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Hemphill reassigns Medicare benefits to 3 organizations: Carilion Rockbridge Community Hospital (Lexington, VA), Carilion Healthcare Corporation (Roanoke, VA) and Carilion Medical Center (Roanoke, VA). 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 Edward Hemphill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edward Hemphill affiliated with any hospitals?

According to CMS data, Edward Hemphill is affiliated with Carilion Stonewall Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Edward Hemphill was last updated on December 9, 2020. 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.