DR. EDWARD L. ST.BERNARD M.D.
NPI 1265491708
Internal Medicine in Marion, NC

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
99.72/100
CMS Quality Rating
100 SPAULDING RD, SUITE 1, MARION, NC 28752(828) 652-7776(828) 652-7807 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Oct 26, 2016 (2 updates tracked since 2016).

About Dr. Edward L. St.bernard M.d. NPPES

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

DR. EDWARD L. ST.BERNARD M.D. (NPI 1265491708) is an individual internal medicine provider in Marion, North Carolina, licensed in North Carolina (9401054) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with The Mcdowell Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1265491708
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWARD L. ST.BERNARDCredential: M.D.
Location Address100 SPAULDING RD, SUITE 1Marion, NC 28752-5115
Mailing Address100 Spaulding Rd, Suite 1Marion, NC 28752-5115 · (828) 652-7776 · Fax (828) 652-7807
Fax(828) 652-7807
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 22, 2006
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPI 1265491708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 9401054
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 SPAULDING RD, Marion, NC 28752

Other Identifiers 2

Other110129712NC · Railroad Retirement
Medicaid8979351NC

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. Edward L. St.bernard 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 ID9133021678
PECOS Enrollment IDI20040312000983
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.

Hospital Affiliations CMS Care Compare

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

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28752 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

99.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims71 services$6.38 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers11 claims17 services$7.70 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers17 claims60 services$17.10 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers15 claims15 services$68.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers20 claims20 services$20.71 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers22 claims22 services$20.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
100 SPAULDING RD, SUITE 1
MARION, NC 28752
Orthopaedic Surgery
100 SPAULDING RD
MARION, NC 28752

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 St.bernard's NPI number?

The NPI number for Edward St.bernard is 1265491708. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Edward St.bernard located?

Edward St.bernard practices at 100 Spaulding Rd Suite 1, Marion, NC 28752. The listed phone number is (828) 652-7776.

What is Edward St.bernard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edward St.bernard enrolled in Medicare?

Yes. Edward St.bernard 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 St.bernard accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Edward St.bernard 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 St.bernard affiliated with any hospitals?

According to CMS data, Edward St.bernard is affiliated with The Mcdowell Hospital.

When was this NPI record last updated?

The NPPES record for Edward St.bernard was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.