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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: October 18, 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 and maintains 3 additional practice locations.

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15959 Park Avenue, Emergency DepartmentMemphis, TN 38119 · Phone (615) 498-5421
Location 23200 MacCorkle Ave SECharleston, WV 25304-1297 · Phone (304) 388-4155
Location 3501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-7498

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Charleston Area Medical Center, Inc.
1.9 mi
Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1750166898 (304) 344-3551
Southeastern Emergency Physicians LLC
122 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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

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.

Which organizations bill Medicare for Jerry Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Edwards reassigns Medicare benefits to 2 organizations: Charleston Area Medical Center, Inc. (Charleston, WV) and Southeastern Emergency Physicians LLC (Maysville, KY). 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 Jerry Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.