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JERRY L EDWARDS DO
NPI 1457321820
Emergency Medicine in Charleston, WV

Active since January 26, 2006PECOS Enrolled
90.11/100
CMS Quality Rating
3412 STAUNTON AVE SE, CHARLESTON, WV 25304(304) 388-6004(304) 388-3360 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry L Edwards Do NPPES

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

JERRY L EDWARDS DO (NPI 1457321820) is an individual emergency medicine provider in Charleston, West Virginia, licensed in West Virginia (851) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457321820
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJERRY L EDWARDSCredential: DO
Location Address3412 STAUNTON AVE SECharleston, WV 25304-1327
Mailing Address3412 Staunton Ave SeCharleston, WV 25304-1327 · (304) 388-6004 · Fax (304) 388-3360
Phone(304) 388-6004
Fax(304) 388-3360
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateOctober 19, 2018
✔ NPI 1457321820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WV · 851✔ Licensed in TN · DO1265
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.
3412 STAUNTON AVE SE, Charleston, WV 25304
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Other Identifiers 3

Other930077458Railroad Medicare
Other4078407Bcbs Provider
Medicaid3305715TN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry L Edwards Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

RYAN F. CHAMBERS PA-C
Physician Assistant
3412 STAUNTON AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 000-0000
JOSEPH LAWRENCE WONSETTLER PA-C
Physician Assistant (Medical)
3412 STAUNTON AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-6004

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 Jerry Edwards's NPI number?

The NPI number for Jerry Edwards is 1457321820. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Jerry Edwards located?

Jerry Edwards practices at 3412 Staunton Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-6004.

What is Jerry Edwards's specialty?

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

Is Jerry Edwards enrolled in Medicare?

Yes. Jerry Edwards is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Edwards accept?

Health plans from CareSource list Jerry 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.

When was this NPI record last updated?

The NPPES record for Jerry Edwards was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.