THOMAS EDWARDS PA-C
NPI 1194720672
Physician Assistant in Newark, DE

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
1096 OLD CHURCHMANS RD, NEWARK, DE 19713(302) 655-9494(302) 623-4147 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2021, May 14, 2019 (2 updates tracked since 2019).

About Thomas Edwards Pa-c NPPES

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

THOMAS EDWARDS PA-C (NPI 1194720672) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C50000228) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194720672
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS EDWARDSCredential: PA-C
Location Address1096 OLD CHURCHMANS RDNewark, DE 19713-2102
Mailing Address1096 Old Churchmans RdNewark, DE 19713-2102 · (302) 655-9494
Fax(302) 623-4147
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
NPI 1194720672 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 DE · C50000228
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.
1096 OLD CHURCHMANS RD, Newark, DE 19713

Secondary Practice Location 1

Location 1701 N Clayton StWilmington, DE 19805-3155 · Phone (302) 354-5157

Other Identifiers 4

OtherP02567DE · Coventry
OtherP02567DE · Bcbs
Other16225DE · Mid-atlantic
OtherP00110729DE · Railroad Medicare

Accepted 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

Thomas Edwards 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 ID4789584947
PECOS Enrollment IDI20040113000156
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Specialist/Technologist (Athletic Trainer)
1096 OLD CHURCHMANS RD
NEWARK, DE 19713
Nurse Practitioner (Family)
1096 OLD CHURCHMANS RD
NEWARK, DE 19713
Clinic/Center (Ambulatory Surgical)
1096 OLD CHURCHMANS RD
NEWARK, DE 19713
Orthopaedic Surgery (Orthopaedic Trauma)
1096 OLD CHURCHMANS RD
NEWARK, DE 19713
Orthopaedic Surgery
1096 OLD CHURCHMANS RD
NEWARK, DE 19713

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 Thomas Edwards's NPI number?

The NPI number for Thomas Edwards is 1194720672. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Thomas Edwards located?

Thomas Edwards practices at 1096 Old Churchmans Rd, Newark, DE 19713. The listed phone number is (302) 655-9494.

What is Thomas Edwards's specialty?

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

Is Thomas Edwards enrolled in Medicare?

Yes. Thomas Edwards 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 Thomas Edwards accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Thomas Edwards 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 Thomas Edwards was last updated on July 2, 2021. 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.