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EDWARD F VERNER M.D.
NPI 1356457162
Internal Medicine - Infectious Disease in Waco, TX

Active since August 22, 2006PECOS Enrolled
74.33/100
CMS Quality Rating
7030 NEW SANGER AVE, STE 202, WACO, TX 76712(254) 772-4400(254) 399-0247 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward F Verner M.d. NPPES

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

EDWARD F VERNER M.D. (NPI 1356457162) is an individual infectious disease provider in Waco, Texas, licensed in Texas (F7262) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Medical Branch At Galveston (1980).

NPPES Registry Identity

NPI1356457162
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameEDWARD F VERNERCredential: M.D.
Location Address7030 NEW SANGER AVE, STE 202Waco, TX 76712
Mailing Address7030 New Sanger Rd, Ste 202Waco, TX 76712-4075 · (254) 772-4400 · Fax (254) 399-0247
Phone(254) 772-4400
Fax(254) 399-0247
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1980
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 29, 2010
✔ NPI 1356457162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · F7262
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
7030 NEW SANGER AVE, Waco, TX 76712
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified86A292TX
Medicaid118080402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Edward F Verner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305879222
PECOS Enrollment IDI20050912001286
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

2

Medicare enrollment records show Edward Verner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health Alliance
0.2 mi
Specialist
6901 MEDICAL PKWY
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 176 clinicians in this Medicare group
NPI 1932210838 (254) 751-4061
City Of Waco
5.2 mi
Public Health, State or Local
225 WEST WACO DRIVE
Waco, TX 76707
  • Reassigned Medicare billing, Texas enrollment
NPI 1871525683 (254) 750-5409

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

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.

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.
52 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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.

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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Advance Care Plan
33%101 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
0%94 patients1/55-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.

Other Providers at the Same Location NPPES 5

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

WACO INFECTIOUS DISEASE ASSOCIATES P A
Internal Medicine (Infectious Disease)
7030 NEW SANGER AVE, STE 202
WACO, TX 76712
McLennan County (254) 741-1860
ROBERT W GRAYSON M.D.
Obstetrics & Gynecology
7030 NEW SANGER AVE, STE 204
WACO, TX 76712
McLennan County (254) 753-3190
DONALD K LEWIS M.D.
Obstetrics & Gynecology
7030 NEW SANGER AVE, STE 204
WACO, TX 76712
McLennan County (254) 756-1300
HILLCREST OBSTETRICS-GYNECOLOGY INC
Obstetrics & Gynecology
7030 NEW SANGER AVE, STE 204
WACO, TX 76712
McLennan County (254) 741-1860
DAVID P DOOLEY M.D.
Internal Medicine (Infectious Disease)
7030 NEW SANGER AVE, STE 202
WACO, TX 76712
McLennan County (254) 741-1860

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 Verner's NPI number?

The NPI number for Edward Verner is 1356457162. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Edward Verner located?

Edward Verner practices at 7030 New Sanger Ave Ste 202, Waco, TX 76712. The listed phone number is (254) 772-4400.

What is Edward Verner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Edward Verner enrolled in Medicare?

Yes. Edward Verner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edward Verner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Verner reassigns Medicare benefits to 2 organizations: Providence Health Alliance (Waco, TX) and City Of Waco (Waco, TX). 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 Edward Verner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Verner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Edward Verner 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 Verner affiliated with any hospitals?

According to CMS data, Edward Verner is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Edward Verner was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.