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JAMES E EDINGER MD
NPI 1457339756
Family Medicine in Tully, NY

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
57 STATE ST, TULLY, NY 13159(315) 696-4635(315) 696-6108 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James E Edinger Md NPPES

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

JAMES E EDINGER MD (NPI 1457339756) is an individual family medicine provider in Tully, New York, licensed in New York (182686) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1457339756
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES E EDINGERCredential: MD
Location Address57 STATE STTully, NY 13159-3218
Mailing Address1001 W Fayette St, Ste 400Syracuse, NY 13204-2859 · (315) 472-1488 · Fax (315) 472-8060
Phone(315) 696-4635
Fax(315) 696-6108
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 6, 2006
Last NPPES UpdateMay 12, 2008
✔ NPI 1457339756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 182686
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
57 STATE ST, Tully, NY 13159
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Other Identifiers 3

Medicare UPINF00836NY
Medicare PIN080067469NY
Medicare PIN56100HNY

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

James E Edinger 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 ID8729086210
PECOS Enrollment IDI20100127000133
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services23 patients
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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13159 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims66 services$1.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Edinger's NPI number?

The NPI number for James Edinger is 1457339756. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is James Edinger located?

James Edinger practices at 57 State St, Tully, NY 13159. The listed phone number is (315) 696-4635.

What is James Edinger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Edinger enrolled in Medicare?

Yes. James Edinger 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.

Is James Edinger affiliated with any hospitals?

According to CMS data, James Edinger is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for James Edinger was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.