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MARTIN G EDWARDS M.D.
NPI 1497703847
Ophthalmology in Farmington, CT

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.93/100
CMS Quality Rating
499 FARMINGTON AVE, SUITE 100, FARMINGTON, CT 06032(860) 678-0202(860) 678-0224 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2020, Oct 9, 2019, Feb 2, 2016 (3 updates tracked since 2016).

About Martin G Edwards M.d. NPPES

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

MARTIN G EDWARDS M.D. (NPI 1497703847) is an individual ophthalmology provider in Farmington, Connecticut, licensed in Connecticut (036579) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1991).

NPPES Registry Identity

NPI1497703847
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARTIN G EDWARDSCredential: M.D.
Location Address499 FARMINGTON AVE, SUITE 100Farmington, CT 06032-1943
Mailing Address499 Farmington Ave, Suite 100Farmington, CT 06032-1943 · (860) 678-0202 · Fax (860) 678-0224
Phone(860) 678-0202
Fax(860) 678-0224
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1991
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 3, 20203 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1497703847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 036579
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
499 FARMINGTON AVE, Farmington, CT 06032
Open in Google Maps ↗

Other Identifiers 2

Other180037506Railroad Medicare
Medicaid001365792CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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

Martin G Edwards M.d. 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 ID9638266448
PECOS Enrollment IDI20100108000332
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
680 services643 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
158 services116 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
134 services128 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
114 services112 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.
97 services97 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
88 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06032 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

93.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost79.77

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers22 claims22 services$55.26 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers15 claims26 services$55.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 J CATUCCIO RPT
Physical Therapist
499 FARMINGTON AVE, 3RD FLOOR
FARMINGTON, CT 06032
Capitol Planning Region (860) 667-5494
SEEMA SHETH M.D.
Urology
499 FARMINGTON AVE, SUITE 220
FARMINGTON, CT 06032
Capitol Planning Region (860) 678-7300
ALEXANDRA GUNTER
Nurse Practitioner (Family)
499 FARMINGTON AVE
FARMINGTON, CT 06032
Capitol Planning Region (860) 678-7300
C. MITCHELL GILBERT M.D.
Ophthalmology
499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032
Capitol Planning Region (860) 678-0202
DR. KIMBERLY A DITOLLA O.D.
Optometrist
499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032
Capitol Planning Region (860) 678-0202
ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Durable Medical Equipment & Medical Supplies
499 FARMINGTON AVE, SUITE 300
FARMINGTON, CT 06032
Capitol Planning Region (860) 549-3210
MICHAEL P GINGOLD M.D.
Ophthalmology
499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032
Capitol Planning Region (860) 678-0202
CRAIG A MEHLDAU M.D.
Ophthalmology
499 FARMINGTON AVE, SUITE 100
FARMINGTON, CT 06032
Capitol Planning Region (860) 678-0202

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 Martin Edwards's NPI number?

The NPI number for Martin Edwards is 1497703847. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Martin Edwards located?

Martin Edwards practices at 499 Farmington Ave Suite 100, Farmington, CT 06032. The listed phone number is (860) 678-0202.

What is Martin Edwards's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Martin Edwards enrolled in Medicare?

Yes. Martin 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.

What insurance does Martin Edwards accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Martin 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 Martin Edwards was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.