HERBERT P EDMUNDSON JR. M.D., PHD
NPI 1225089105
Psychiatry & Neurology - Neurology in Houston, TX

Q: What is Herbert Edmundson's NPI number?

The NPI number for Herbert Edmundson is 1225089105. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Herbert Edmundson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Herbert Edmundson was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 15, 2006PECOS EnrolledAccepts Medicare Assignment

80.43/100

CMS Quality Rating

7777 SOUTHWEST FWY, SUITE 900, HOUSTON, TX 77074(713) 981-9971(713) 981-1457 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Herbert P Edmundson Jr. M.d., Phd NPPES

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

HERBERT P EDMUNDSON JR. M.D., PHD (NPI 1225089105) is an individual neurology provider in Houston, Texas, licensed in Texas (G8091) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1984).

NPPES Registry Identity

NPI1225089105

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameHERBERT P EDMUNDSON JR.Credential: M.D., PHD

Location Address7777 SOUTHWEST FWY, SUITE 900Houston, TX 77074-1802

Mailing Address7777 Southwest Fwy, Suite 900Houston, TX 77074-1802 · (713) 981-9971 · Fax (713) 981-1457

Phone(713) 981-9971

Fax(713) 981-1457

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1984

Enumeration DateMay 15, 2006

Last NPPES UpdateFebruary 7, 2012

✔ NPI 1225089105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TX · G8091

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

7777 SOUTHWEST FWY, Houston, TX 77074

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Other Identifiers 11

Medicare ID-Type Unspecified871313TX

Medicaid119018302TX

Other130010537TX · Railroad Medicare

Other10014684TX · Amerigroup

Other29055TX · Texan Plus

OtherMDG8091TX · W/c

OtherED0871313Bcbs Out Of State

Medicare UPINC15420

Other871313TX · Blue Cross Blue Shield

Other375890300TX · Dept Of Labor

Other4105221TX · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.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

Herbert P Edmundson Jr. M.d., Phd 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 ID9133318066

PECOS Enrollment IDI20110127000768

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 17

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.

165 services137 patients

Complete ultrasound of within the brain blood flow 93886

A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.

127 services127 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

123 services123 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

110 services41 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

103 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

72 services72 patients

Measurement of brain wave activity (eeg), digital analysis 95957

The measurement of brain wave activity, or EEG, involves recording and analyzing electrical signals from your brain. Small sensors are placed on the scalp to capture these signals. This digital analysis helps in diagnosing conditions like epilepsy or sleep disorders.

66 services65 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.

66 services58 patients

Testing of autonomic (sympathetic) nervous system function 95923

Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.

64 services64 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

53 services45 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

39 services39 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

36 services36 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

36 services36 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

28 services22 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

27 services26 patients

Nerve conduction, 13 or more studies 95913

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

22 services22 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

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.

80.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

60.87

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%417 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%754 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

0%93 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

0%924 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

35%124 patients2/55-star benchmark: 91%

Dementia: Cognitive Assessment

0%31 patients

Diabetes: Eye Exam

0%145 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

97%145 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%3,110 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%631 patients1/55-star benchmark: 100%

HIV Screening

0%1,634 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

31%2,180 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%2,270 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

16%2,658 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 71% · 691 patients

Patients screened: 94% · 691 patients

9%172 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

46%937 patients1/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 5% · 663 patients

Patients totalRate: 6% · 663 patients

2%663 patients4/55-star benchmark: 100%

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.

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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.

JUDITH GOLD, M.D., P.A.

Internal Medicine (Nephrology)

7777 SOUTHWEST FWY, 1052
HOUSTON, TX 77074

Harris County (713) 988-8776

SOUTHWEST NEPHROLOGY ASSOCIATES, LLP

Specialist

7777 SOUTHWEST FWY, STE.# 304
HOUSTON, TX 77074

Harris County (713) 270-4545

ENRIQUE HEBERTO RIOS JR. M.D.

Pediatrics (Neonatal-Perinatal Medicine)

7777 SOUTHWEST FWY, SUITE 310
HOUSTON, TX 77074

Harris County (713) 772-3300

KEVIN G NICKELL MD

Urology

7777 SOUTHWEST FWY, # 1032
HOUSTON, TX 77074

Harris County (713) 351-0644

CHERYL SCHULTZ OPAC

Physician Assistant (Surgical)

7777 SOUTHWEST FWY, SUITE 432
HOUSTON, TX 77074

Harris County (713) 777-4785

DR. JOHN DAVID FISHER MD

Surgery

7777 SOUTHWEST FWY, SUITE 810
HOUSTON, TX 77074

Harris County (713) 772-1200

DR. CARL VICTOR VARTIAN MD

Internal Medicine (Infectious Disease)

7777 SOUTHWEST FWY, 740
HOUSTON, TX 77074

Harris County (713) 777-7751

PROF. ANITHA THOMAS ABRAHAM MD

Psychiatry & Neurology (Neurology)

7777 SOUTHWEST FWY, STE 724
HOUSTON, TX 77074

Harris County (713) 456-6864

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 Herbert Edmundson's NPI number?

The NPI number for Herbert Edmundson is 1225089105. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Herbert Edmundson located?

Herbert Edmundson practices at 7777 Southwest Fwy Suite 900, Houston, TX 77074. The listed phone number is (713) 981-9971.

What is Herbert Edmundson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Herbert Edmundson enrolled in Medicare?

Yes. Herbert Edmundson 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 Herbert Edmundson accept?

Health plans from Community Health Choice list Herbert Edmundson 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 Herbert Edmundson was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.