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DR. PAUL S EDWARDS MD
NPI 1306122163
Internal Medicine - Cardiovascular Disease in Centralia, IL

Active since October 25, 2011PECOS EnrolledAccepts Medicare Assignment
1050 MARTIN LUTHER KING DRIVE, SUITE 108, CENTRALIA, IL 62801(618) 532-3517(618) 532-0801 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul S Edwards Md NPPES

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

DR. PAUL S EDWARDS MD (NPI 1306122163) is an individual cardiovascular disease provider in Centralia, Illinois, licensed in Illinois (036129055) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1306122163
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL S EDWARDSCredential: MD
Location Address1050 MARTIN LUTHER KING DRIVE, SUITE 108Centralia, IL 62801
Mailing Address1050 Martin Luther King Dr Ste 108Centralia, IL 62801-3060 · (618) 532-3517 · Fax (618) 532-0801
Phone(618) 532-3517
Fax(618) 532-0801
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 25, 2011
Last NPPES UpdateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1306122163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in IL · 036129055✔ Licensed in MN · 82162
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1050 MARTIN LUTHER KING DRIVE, Centralia, IL 62801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company and more.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. Paul S Edwards 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 ID4789842527
PECOS Enrollment IDI20221205002548
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 7

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.

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.
156 services78 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
144 services143 patients
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.
124 services86 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
86 services85 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.
62 services62 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62801 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 3

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

PROF. JAMES LOUIS SCHUTZENHOFER MD
Internal Medicine
1050 MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 545-1705
JAMES L SCHUTZENHOFER MD LLC
Internal Medicine
1050 MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 545-1705
NAEEM ANWAR KHAN MD
Internal Medicine (Cardiovascular Disease)
1050 MARTIN LUTHER KING DRIVE, STE #108
CENTRALIA, IL 62801
Marion County (618) 532-8574

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 Paul Edwards's NPI number?

The NPI number for Paul Edwards is 1306122163. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Where is Paul Edwards located?

Paul Edwards practices at 1050 Martin Luther King Drive Suite 108, Centralia, IL 62801. The listed phone number is (618) 532-3517.

What is Paul Edwards's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Edwards enrolled in Medicare?

Yes. Paul 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 Paul Edwards accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Paul 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 Paul Edwards affiliated with any hospitals?

According to CMS data, Paul Edwards is affiliated with St Lukes Regional Medical Center and Cherokee Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Edwards was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.