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WILLIAM EDELSON MD
NPI 1255955902
Psychiatry & Neurology - Psychiatry in Raleigh, NC

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
5530 MUNFORD RD STE 119, RALEIGH, NC 27612(919) 782-9554(919) 782-9130 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 3, 2025, Jun 4, 2020, May 28, 2020 (3 updates tracked since 2020).

About William Edelson Md NPPES

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

WILLIAM EDELSON MD (NPI 1255955902) is an individual psychiatry provider in Raleigh, North Carolina, licensed in South Carolina (LL84160) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2020).

NPPES Registry Identity

NPI1255955902
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameWILLIAM EDELSONCredential: MD
Location Address5530 MUNFORD RD STE 119Raleigh, NC 27612-2638
Mailing Address3624 Sunningdale WayDurham, NC 27707-5654
Phone(919) 782-9554
Fax(919) 782-9130
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2020
Enumeration DateMay 28, 2020
Last NPPES UpdateJuly 3, 20253 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1255955902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · LL84160
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LL84160 (SC)
5530 MUNFORD RD STE 119, Raleigh, NC 27612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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

William Edelson Md 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 ID7416376454
PECOS Enrollment IDI20240815000144
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 Reassignment

Medicare enrollment records show William Edelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of North Carolina At Chapel Hill
5.0 mi
Family Medicine
401 E WHITAKER MILL RD STE 2100
Raleigh, NC 27608
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1972912285 (984) 974-4832

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 William Edelson's NPI number?

The NPI number for William Edelson is 1255955902. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is William Edelson located?

William Edelson practices at 5530 Munford Rd Ste 119, Raleigh, NC 27612. The listed phone number is (919) 782-9554.

What is William Edelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is William Edelson enrolled in Medicare?

Yes. William Edelson 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.

Which organization bills Medicare for William Edelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Edelson reassigns Medicare benefits to University Of North Carolina At Chapel Hill (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Edelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Edelson accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list William Edelson 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 William Edelson was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.