LANCE EDWARDS MD
NPI 1487638037
Obstetrics & Gynecology - Gynecology in Port Jefferson, NY

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
118 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-7171(631) 473-4605 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lance Edwards Md NPPES

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

LANCE EDWARDS MD (NPI 1487638037) is an individual gynecology provider in Port Jefferson, New York, licensed in New York (168561) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of State University Of Ny Upstate Medical University (1983).

NPPES Registry Identity

NPI1487638037
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameLANCE EDWARDSCredential: MD
Location Address118 N COUNTRY RDPort Jefferson, NY 11777-2120
Mailing Address118 N Country RdPort Jefferson, NY 11777-2120 · (631) 473-7171 · Fax (631) 473-4605
Fax(631) 473-4605
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1983
Enumeration DateDecember 6, 2005
Last NPPES UpdateOctober 10, 2011
NPI 1487638037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NY · 168561
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

118 N COUNTRY RD, Port Jefferson, NY 11777

Other Identifiers 2

Medicare UPINA60354
Medicare ID-Type Unspecified08E601NY

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

Lance Edwards 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 ID7416965645
PECOS Enrollment IDI20060330000266
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,940 services61 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.
524 services507 patients
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.
358 services226 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
205 services204 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
162 services85 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
113 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Obstetrics & Gynecology (Gynecology)
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Obstetrics & Gynecology (Gynecology)
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner
118 N COUNTRY RD
PORT JEFFERSON, NY 11777

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 Lance Edwards's NPI number?

The NPI number for Lance Edwards is 1487638037. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Lance Edwards located?

Lance Edwards practices at 118 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-7171.

What is Lance Edwards's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Lance Edwards enrolled in Medicare?

Yes. Lance Edwards 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 Lance Edwards affiliated with any hospitals?

According to CMS data, Lance Edwards is affiliated with Long Island Community Hospital, John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Lance Edwards was last updated on October 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.