SCOTT EDWARDS MD
NPI 1356326169
Orthopaedic Surgery - Hand Surgery in Phoenix, AZ

Q: What is Scott Edwards's NPI number?

The NPI number for Scott Edwards is 1356326169. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Scott Edwards's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Scott Edwards was last updated on June 25, 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.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

83.49/100

CMS Quality Rating

18444 N 25TH AVE, STE 210, PHOENIX, AZ 85023(623) 537-5600(866) 939-2673 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Scott Edwards Md NPPES

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

SCOTT EDWARDS MD (NPI 1356326169) is an individual hand surgery provider in Phoenix, Arizona, licensed in Arizona (48056) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Georgetown University School Of Medicine (1996).

NPPES Registry Identity

NPI1356326169

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameSCOTT EDWARDSCredential: MD

Location Address18444 N 25TH AVE, STE 210Phoenix, AZ 85023-1264

Mailing Address18444 N 25th Ave, Ste 310Phoenix, AZ 85023-1266 · (623) 537-5600 · Fax (866) 939-2673

Phone(623) 537-5600

Fax(866) 939-2673

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1996

Enumeration DateDecember 14, 2005

Last NPPES UpdateJune 25, 2025

NPPES CertifiedJune 25, 2025

✔ NPI 1356326169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

Licenses✔ Licensed in AZ · 48056✔ Licensed in MT · 156509

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 33925 (DC), 48056 (AZ)

18444 N 25TH AVE, Phoenix, AZ 85023

Open in Google Maps ↗

Other Identifiers 2

OtherP00678667DC · Railroad Medicare

Medicaid860106AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.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

Scott 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 ID8628058575

PECOS Enrollment IDI20250711000705

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 Reassignments

Medicare enrollment records show Scott Edwards reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner - University Physician Specialists LLC

12 mi

Multi-Specialty

2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
553 clinicians in this Medicare group

NPI 1417312760 (602) 747-4000

District Medical Group, Inc

14 mi

Surgery

2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1174856280 (602) 344-1095

Benefis Hospitals Inc

956 mi

Multi-Specialty

1401 25TH ST S
Great Falls, MT 59405

Reassigned Medicare billing, Montana enrollment
637 clinicians in this Medicare group

NPI 1780968974 (406) 455-5000

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

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85023 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

83.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

69.99

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

39%183 patients2/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

99%1,507 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

1%436 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

95%1,105 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%392 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 742 patients

Patients screened: 97% · 742 patients

94%82 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

71%24 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 452 patients

Patients totalRate: 0% · 452 patients

0%452 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories E1806

DME-Other DME · category DE000N

1 supplier12 claims12 services$83.52 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 20

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

KRYSTLE L URIBE DPT

Physical Therapist

18444 N 25TH AVE, SUITE 220
PHOENIX, AZ 85023

Maricopa County (623) 537-5600

ARIZONA THERAPY ASSOCIATES, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

18444 N 25TH AVE, SUITE 420-712
PHOENIX, AZ 85023

Maricopa County (480) 244-3586

MR. CHAIM DANIEL KAPLAN PA-C

Physician Assistant

18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023

Maricopa County (866) 974-2673

SEPEIN CHIANG DO

Orthopaedic Surgery

18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023

Maricopa County (623) 537-5600

KIRK PUTTLITZ MD

Pain Medicine (Interventional Pain Medicine)

18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023

Maricopa County (623) 537-5600

A HOPEFUL HOME LLC

Home Health

18444 N 25TH AVE
PHOENIX, AZ 85023

Maricopa County (480) 604-4859

WILLIAM CRAIG BROWN P.T., A.T.C, S.C.S

Physical Therapist

18444 N 25TH AVE, SUITE 220
PHOENIX, AZ 85023

Maricopa County (623) 537-5600

MRS. CHRISTINA L.S. WILLMAN PA-C

Physician Assistant (Surgical)

18444 N 25TH AVE, SUITE 210
PHOENIX, AZ 85023

Maricopa County (623) 537-5600

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 Scott Edwards's NPI number?

The NPI number for Scott Edwards is 1356326169. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Scott Edwards located?

Scott Edwards practices at 18444 N 25th Ave Ste 210, Phoenix, AZ 85023. The listed phone number is (623) 537-5600.

What is Scott Edwards's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Scott Edwards enrolled in Medicare?

Yes. Scott 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.

Which organizations bill Medicare for Scott Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Edwards reassigns Medicare benefits to 3 organizations: Banner - University Physician Specialists LLC (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ) and Benefis Hospitals Inc (Great Falls, MT). Each 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 Scott Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Edwards accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 3 other insurers list Scott 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 Scott Edwards affiliated with any hospitals?

According to CMS data, Scott Edwards is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Scott Edwards was last updated on June 25, 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.