DR. ROY DEWAYNE EDWARDS D.O.
NPI 1255530309
Surgery - Surgical Critical Care in Mcallen, TX

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment
86.22/100
CMS Quality Rating
1100 E DOVE AVE STE 300, MCALLEN, TX 78504(956) 362-8170(956) 362-8168 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2023, Oct 13, 2021, Sep 8, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Roy Dewayne Edwards D.o. NPPES

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

DR. ROY DEWAYNE EDWARDS D.O. (NPI 1255530309) is an individual surgical critical care provider in Mcallen, Texas, licensed in Texas (Q5178) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Knapp Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1255530309
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. ROY DEWAYNE EDWARDSCredential: D.O.
Location Address1100 E DOVE AVE STE 300Mcallen, TX 78504-4682
Mailing AddressPo Box 2975Mcallen, TX 78502-2975 · (956) 362-8170 · Fax (956) 362-8168
Fax(956) 362-8168
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2007
Enumeration DateJuly 17, 2007
Last NPPES UpdateMarch 24, 20234 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1255530309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in TX · Q5178
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedSurgeryTaxonomy 208600000X · License Q5178 (TX)
1100 E DOVE AVE STE 300, Mcallen, TX 78504

Other Identifiers 1

OtherQ5178TX · Texas Medical Board License

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

Dr. Roy Dewayne Edwards D.o. 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 ID9335382076
PECOS Enrollment IDI20160712000552
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 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
67 services40 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.
58 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services30 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.
30 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

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.

86.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.03
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Colon & Rectal Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Physician Assistant
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery (Vascular Surgery)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Surgery
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 300
MCALLEN, TX 78504

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 Roy Edwards's NPI number?

The NPI number for Roy Edwards is 1255530309. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Roy Edwards located?

Roy Edwards practices at 1100 E Dove Ave Ste 300, Mcallen, TX 78504. The listed phone number is (956) 362-8170.

What is Roy Edwards's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Roy Edwards enrolled in Medicare?

Yes. Roy 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 Roy Edwards accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Roy 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.

Is Roy Edwards affiliated with any hospitals?

According to CMS data, Roy Edwards is affiliated with Knapp Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Roy Edwards was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.