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JAMES CLIFFORD EDWARDS M.D.
NPI 1508972308
Emergency Medicine in Clearfield, PA

Active since August 22, 2006PECOS Enrolled
91.37/100
CMS Quality Rating
809 TURNPIKE AVE, CLEARFIELD, PA 16830(814) 768-2470(814) 768-2374 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Clifford Edwards M.d. NPPES

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

JAMES CLIFFORD EDWARDS M.D. (NPI 1508972308) is an individual emergency medicine provider in Clearfield, Pennsylvania, licensed in Pennsylvania (MD-040316L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508972308
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES CLIFFORD EDWARDSCredential: M.D.
Location Address809 TURNPIKE AVEClearfield, PA 16830-1232
Mailing Address809 Turnpike AveClearfield, PA 16830-1232 · (814) 768-2470 · Fax (814) 768-2374
Phone(814) 768-2470
Fax(814) 768-2374
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508972308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD-040316L
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.
809 TURNPIKE AVE, Clearfield, PA 16830
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Other Identifiers 2

Medicare UPINE64238PA
Medicare ID-Type Unspecified532460PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

James Clifford Edwards M.d. 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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
865 services340 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
256 services236 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
20 services17 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16830 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

91.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.46
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims1,160 services$0.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers17 claims570 services$7.09 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier17 claims690 services$3.24 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims168 services$9.40 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers20 claims1,951 services$0.37 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.

BRITTANY DELANEY PA-C
Physician Assistant
809 TURNPIKE AVE
CLEARFIELD, PA 16830
Clearfield County (814) 765-5341
DR. REMIGIO RUBIANO M.D.
Anesthesiology
809 TURNPIKE AVE
CLEARFIELD, PA 16830
Clearfield County (814) 339-7101
MRS. M. MICHELLE KNEPPER MMS PA-C
Physician Assistant (Medical)
809 TURNPIKE AVE
CLEARFIELD, PA 16830
Clearfield County (814) 375-3489
DUBOIS REGIONAL MEDICAL CENTER
Psychiatric Unit
809 TURNPIKE AVE
CLEARFIELD, PA 16830
Clearfield County (814) 765-5341
CLEARFIELD HOSPITAL
Emergency Medicine
809 TURNPIKE AVE
CLEARFIELD, PA 16830
Clearfield County (814) 765-5341
CLEARFIELD HOSPITAL
Internal Medicine (Cardiovascular Disease)
809 TURNPIKE AVE
CLEARFIELD, PA 16830
Clearfield County (814) 765-5341
SATISH AMIRNENI MD
Psychiatry & Neurology (Geriatric Psychiatry)
809 TURNPIKE AVE, C/O BRIGHT HORIZONS(CLEARFIELD HOSPITAL)
CLEARFIELD, PA 16830
Clearfield County (814) 768-2184
CLEARFIELD HOSPITAL
Pharmacy (Institutional Pharmacy)
809 TURNPIKE AVE
CLEARFIELD, PA 16830
Clearfield County (814) 768-2265

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 Edwards's NPI number?

The NPI number for James Edwards is 1508972308. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is James Edwards located?

James Edwards practices at 809 Turnpike Ave, Clearfield, PA 16830. The listed phone number is (814) 768-2470.

What is James Edwards's specialty?

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

Is James Edwards enrolled in Medicare?

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

What insurance does James Edwards accept?

Health plans from Molina Healthcare list James 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 James Edwards was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.