1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Emergency Medicine
  6. NPI Profile

ROBERT JAMES EDMONDS MD
NPI 1386087435
Emergency Medicine in Dayton, OH

Active since April 08, 2013PECOS Enrolled
94.63/100
CMS Quality Rating
1 WYOMING ST, DAYTON, OH 45409(937) 208-8000(000) 000-0000 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 16, 2020, Aug 17, 2020 (2 updates tracked since 2020).

About Robert James Edmonds Md NPPES

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

ROBERT JAMES EDMONDS MD (NPI 1386087435) is an individual emergency medicine provider in Dayton, Ohio, licensed in Ohio (35.139599) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386087435
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROBERT JAMES EDMONDSCredential: MD
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing Address2301 Holmes StKansas City, MO 64108-2640 · (816) 404-4175 · Fax (816) 404-0003
Phone(937) 208-8000
Fax(000) 000-0000
Sole ProprietorYes
Enumeration DateApril 8, 2013
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1386087435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35.139599
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 WYOMING ST, Dayton, OH 45409
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166
Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert James Edmonds Md 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Robert Edmonds reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phs Emergency Billing LLC
0.3 mi
Emergency Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 143 clinicians in this Medicare group
NPI 1578387486 (937) 208-3356
Miami Valley Emergency Specialists, LLC
1.0 mi
Emergency Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1821189085 (513) 281-4400
Emergency Medicine Specialists, Inc.
2.0 mi
Emergency Medicine
405 W GRAND AVE
Dayton, OH 45405
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1558851568 (937) 723-3211
Williamsburg Emergency Physicians
436 mi
Emergency Care
400 SENTARA CIR
Williamsburg, VA 23188
  • Reassigned Medicare billing, Virginia enrollment
  • 35 clinicians in this Medicare group
NPI 1942585310 (757) 941-6000
Riverside Physician Services Inc
438 mi
Gastroenterology
120 KINGS WAY STE 3500
Williamsburg, VA 23185
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1083867311 (757) 221-0750

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
184 services176 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
126 services109 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

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.

DANIEL NGUYEN
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3882
KATHY WAYMIRE CRNA
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (800) 394-4445
DR. RORY JON PEPPARD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Montgomery County (937) 208-2907
DR. DANIEL PHILLIP PITSTICK D.O.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3356
DR. WILLIAM R. MARRIOTT M.D.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (513) 281-4400
MIAMI VALLEY HOSPITAL
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-8000
LEILA CONSTANCE TOU
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-2866
DR. JARED COTTINGIM RPH
Pharmacist
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3195

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 Robert Edmonds's NPI number?

The NPI number for Robert Edmonds is 1386087435. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Robert Edmonds located?

Robert Edmonds practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Robert Edmonds's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Edmonds enrolled in Medicare?

Yes. Robert Edmonds is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Edmonds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Edmonds reassigns Medicare benefits to 5 organizations: Phs Emergency Billing LLC (Dayton, OH), Miami Valley Emergency Specialists, LLC (Dayton, OH), Emergency Medicine Specialists, Inc. (Dayton, OH), Williamsburg Emergency Physicians (Williamsburg, VA) and Riverside Physician Services Inc (Williamsburg, VA). 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 Robert Edmonds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Edmonds accept?

Health plans from CareSource and Oscar Health Insurance list Robert Edmonds 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 Robert Edmonds was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.