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DR. BILLY MAX EDEN MD
NPI 1356370464
Internal Medicine - Sleep Medicine in Tyler, TX

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
120 E CHARNWOOD ST, STE B, TYLER, TX 75701(903) 525-1664 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2017, Jul 11, 2016, May 11, 2016 (3 updates tracked since 2016).

About Dr. Billy Max Eden Md NPPES

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

DR. BILLY MAX EDEN MD (NPI 1356370464) is an individual sleep medicine provider in Tyler, Texas, licensed in Texas (F8094) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Beaumont, and is a graduate of University Of Oklahoma College Of Medicine (1973).

NPPES Registry Identity

NPI1356370464
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. BILLY MAX EDENCredential: MD
Location Address120 E CHARNWOOD ST, STE BTyler, TX 75701-1708
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Phone(903) 525-1664
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1973
Enumeration DateJuly 1, 2006
Last NPPES UpdateApril 22, 20253 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1356370464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in TX · F8094
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
120 E CHARNWOOD ST, Tyler, TX 75701
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Secondary Practice Location 1

Location 1810 Hospital Dr Ste 235Beaumont, TX 77701-4654 · Phone (409) 833-2382

Other Identifiers 6

Other8FS313TX · Bcbs
OtherP01628359TX · Rail Road Medicare
Other75-2616977-026TX · Tricare
Medicaid109389001TX
Medicaid131961809TX
Other75-2616977-129TX · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Medica 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. Billy Max Eden 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 ID3971572835
PECOS Enrollment IDI20040928000284, I20240516000699
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 5

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.

Therapy procedure using a positive pressure ventilator 94660
A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.
401 services399 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
170 services161 patients
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.
67 services58 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.
51 services51 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers139 claims140 services$37.56 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
23 suppliers187 claims188 services$94.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers190 claims541 services$37.87 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
29 suppliers145 claims764 services$20.20 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
16 suppliers60 claims336 services$15.27 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
31 suppliers206 claims206 services$58.01 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 3

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

REGENIA WASHINGTON-REDMON NP
Nurse Practitioner
120 E CHARNWOOD ST
TYLER, TX 75701
Smith County (903) 525-1664
SHERRI L TEN PAS DO
Internal Medicine (Sleep Medicine)
120 E CHARNWOOD ST, SUITE B
TYLER, TX 75701
Smith County (903) 525-1664
PETER DANIEL OBESSO D.O.
Internal Medicine (Sleep Medicine)
120 E CHARNWOOD ST, SUITE B
TYLER, TX 75701
Smith County (903) 525-1664

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 Billy Eden's NPI number?

The NPI number for Billy Eden is 1356370464. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Billy Eden located?

Billy Eden practices at 120 E Charnwood St Ste B, Tyler, TX 75701. The listed phone number is (903) 525-1664.

What is Billy Eden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Billy Eden enrolled in Medicare?

Yes. Billy Eden 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 Billy Eden accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Medica, Mending Health and Oscar Insurance Company and 1 other insurer list Billy Eden 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 Billy Eden was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.