EDWARD W JERNIGAN MD
NPI 1356600597
Surgery - Surgery of the Hand in Raleigh, NC

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
91.94/100
CMS Quality Rating
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612(919) 781-5600(919) 863-6821 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2024, May 6, 2021, Mar 30, 2021 and 4 more (7 updates tracked since 2018).

About Edward W Jernigan Md NPPES

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

EDWARD W JERNIGAN MD (NPI 1356600597) is an individual surgery of the hand provider in Raleigh, North Carolina, licensed in North Carolina (2018-01948) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2012).

NPPES Registry Identity

NPI1356600597
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameEDWARD W JERNIGANCredential: MD
Location Address3001 EDWARDS MILL RD STE 200Raleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd Ste 200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821
Fax(919) 863-6821
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2012
Enumeration DateMay 9, 2012
Last NPPES UpdateJune 11, 20247 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1356600597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License Licensed in NC · 2018-01948
Definition
A surgeon with expertise 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 2018-01948 (NC)
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 2018-01948 (NC)
3001 EDWARDS MILL RD STE 200, Raleigh, NC 27612

Accepted 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

Edward W Jernigan 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 ID5193015329
PECOS Enrollment IDI20181107000541
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 18

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 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.
562 services266 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
346 services147 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
130 services78 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.
126 services126 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
115 services63 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
110 services71 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.07
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
95%62 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%1,968 patients4/55-star benchmark: 100%
e-Prescribing
86%1,718 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%581 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,101 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,954 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 1,931 patients
Patients screened: 83% · 1,931 patients
96%105 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%2,241 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%141 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 622 patients
Patients totalRate: 1% · 622 patients
0%622 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 3

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

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$322.33 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier37 claims42 services$41.35 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$58.28 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.

Physical Therapist
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Occupational Therapist
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612

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 Jernigan's NPI number?

The NPI number for Edward Jernigan is 1356600597. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Edward Jernigan located?

Edward Jernigan practices at 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is Edward Jernigan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Edward Jernigan enrolled in Medicare?

Yes. Edward Jernigan 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 Edward Jernigan accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Edward Jernigan 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 Jernigan affiliated with any hospitals?

According to CMS data, Edward Jernigan is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Edward Jernigan was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.