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DR. RICHARD ALBERT EDWARDS JR. M.D.
NPI 1336203967
Obstetrics & Gynecology in Batavia, NY

Active since December 20, 2006PECOS Enrolled
95.19/100
CMS Quality Rating
215 SUMMIT ST, BATAVIA, NY 14020(585) 344-4700(585) 345-4191 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Albert Edwards Jr. M.d. NPPES

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

DR. RICHARD ALBERT EDWARDS JR. M.D. (NPI 1336203967) is an individual obstetrics & gynecology provider in Batavia, New York, licensed in New York (216110-1) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336203967
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RICHARD ALBERT EDWARDS JR.Credential: M.D.
Location Address215 SUMMIT STBatavia, NY 14020-1649
Mailing Address215 Summit StBatavia, NY 14020-1649 · (585) 344-4700 · Fax (585) 345-4191
Phone(585) 344-4700
Fax(585) 345-4191
Sole ProprietorYes
Enumeration DateDecember 20, 2006
Last NPPES UpdateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1336203967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 216110-1
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
215 SUMMIT ST, Batavia, NY 14020
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Other Identifiers 17

Other00025117002NY · Univera
Medicaid02147804NY
Other060059577NY · Rr Medicare
Other030441930NY · United Health Care
Other030441930NY · North America
Other0298063NY · Ghi
Other030441930NY · Magna
Other10600580NY · Fidelis
OtherP020216110NY · Bluecross Blueshield Roch
Other030441930NY · Commerical Insurance
Other000526067002NY · Bluecross Blueshield Wny
Other105570CKNY · Preferred Care
Other030441930NY · Tricare
Other030441930NY · Aetna
Other030441930NY · Nova
Other0711027NY · Iha
OtherP010216110NY · Blue Choice

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Albert Edwards Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services41 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14020 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

EDWARDS AND SISAM LLC
Obstetrics & Gynecology
215 SUMMIT ST
BATAVIA, NY 14020
Genesee County (585) 344-4700
MRS. EMILY HAINES AU.D
Audiologist
215 SUMMIT ST
BATAVIA, NY 14020
Genesee County (585) 412-6967
LINDSEY NICOLE LAWRENCE
Clinical Exercise Physiologist
215 SUMMIT ST
BATAVIA, NY 14020
Genesee County (585) 344-5401
CELIA ZHANG AU.D.
Audiologist
215 SUMMIT ST
BATAVIA, NY 14020
Genesee County (585) 919-6783

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 Richard Edwards's NPI number?

The NPI number for Richard Edwards is 1336203967. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Richard Edwards located?

Richard Edwards practices at 215 Summit St, Batavia, NY 14020. The listed phone number is (585) 344-4700.

What is Richard Edwards's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Richard Edwards enrolled in Medicare?

Yes. Richard Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Edwards was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.