MITCHELL I EDELSON M.D.
NPI 1255305546
Obstetrics & Gynecology - Gynecologic Oncology in Willow Grove, PA

Q: What is Mitchell Edelson's NPI number?

The NPI number for Mitchell Edelson is 1255305546. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Mitchell Edelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Edelson was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 14, 2006PECOS EnrolledAccepts Medicare Assignment

3941 COMMERCE AVE, WILLOW GROVE, PA 19090(215) 481-4000(215) 576-0740 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2018, Mar 3, 2017 (2 updates tracked since 2017).

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About Mitchell I Edelson M.d. NPPES

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

MITCHELL I EDELSON M.D. (NPI 1255305546) is an individual gynecologic oncology provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MD064402L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1991).

NPPES Registry Identity

NPI1255305546

Entity TypeIndividualMale

Primary Taxonomy207VX0201X

Provider Legal NameMITCHELL I EDELSONCredential: M.D.

Location Address3941 COMMERCE AVEWillow Grove, PA 19090-1104

Mailing Address3941 Commerce AveWillow Grove, PA 19090-1104 · (215) 481-4000 · Fax (215) 576-0740

Phone(215) 481-4000

Fax(215) 576-0740

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1991

Enumeration DateFebruary 14, 2006

Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration

✔ NPI 1255305546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in PA · MD064402L

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

3941 COMMERCE AVE, Willow Grove, PA 19090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mitchell I 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 ID749220432

PECOS Enrollment IDI20050512000364

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 Mitchell Edelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abington Memorial Hospital

3.1 mi

Gynecologic Oncology

1200 OLD YORK RD
Abington, PA 19001

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1548825243 (Pennsylvania), NPI 1316189855 (Pennsylvania)
10 clinicians in this Medicare group

NPI 1750306726 (215) 885-0220

Einstein Practice Plan Inc

6.4 mi

Surgery

60 TOWNSHIP LINE RD
Elkins Park, PA 19027

Reassigned Medicare billing, Pennsylvania enrollment
1,205 clinicians in this Medicare group

NPI 1508822180 (215) 663-6422

Aria Health Physician Services

6.8 mi

Internal Medicine

11726 BUSTLETON AVE
Philadelphia, PA 19116

Reassigned Medicare billing, Pennsylvania enrollment
490 clinicians in this Medicare group

NPI 1134436231 (215) 677-0501

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 6

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 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.

206 services116 patients

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.

63 services52 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

40 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services18 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.

20 services17 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390012

Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County

Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390203

Location595 West State StDoylestown, PA 18901 · Bucks County

Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19090 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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.

AUDREY MOODY LSW

Social Worker (Clinical)