EDWARD RESENDEZ PA
NPI 1255904983
Physician Assistant in Decatur, IN

Active since July 21, 2021PECOS EnrolledAccepts Medicare Assignment
74.77/100
CMS Quality Rating
1100 MERCER AVE, DECATUR, IN 46733(260) 724-2145 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Resendez Pa NPPES

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

EDWARD RESENDEZ PA (NPI 1255904983) is an individual physician assistant in Decatur, Indiana, licensed in Indiana (10003291A) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Adams Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255904983
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWARD RESENDEZCredential: PA
Location Address1100 MERCER AVEDecatur, IN 46733-2303
Mailing AddressPo Box 151Decatur, IN 46733-0151 · (260) 724-2145
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1255904983 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 IN · 10003291A
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.
1100 MERCER AVE, Decatur, IN 46733

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

Edward Resendez Pa 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 ID9830581560
PECOS Enrollment IDI20220110000576
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 2

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.
274 services135 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
28 services18 patients

Hospital Affiliations CMS Care Compare

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

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46733 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

74.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.14
Promoting Interoperability100
Improvement Activities40
Cost27.78

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.

Physical Therapist
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner (Family)
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner (Family)
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner (Family)
1100 MERCER AVE
DECATUR, IN 46733
Hospitalist
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner
1100 MERCER AVE
DECATUR, IN 46733
Emergency Medicine
1100 MERCER AVE
DECATUR, IN 46733

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 Resendez's NPI number?

The NPI number for Edward Resendez is 1255904983. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Edward Resendez located?

Edward Resendez practices at 1100 Mercer Ave, Decatur, IN 46733. The listed phone number is (260) 724-2145.

What is Edward Resendez's specialty?

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

Is Edward Resendez enrolled in Medicare?

Yes. Edward Resendez 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 Edward Resendez accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Edward Resendez 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 Edward Resendez affiliated with any hospitals?

According to CMS data, Edward Resendez is affiliated with Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Resendez was last updated on July 21, 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.