THOMAS BRADLEY EDWARDS M.D.
NPI 1528056033
Orthopaedic Surgery in Houston, TX

Q: What is Thomas Edwards's NPI number?

The NPI number for Thomas Edwards is 1528056033. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Thomas Edwards's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Edwards was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment

84.44/100

CMS Quality Rating

7401 SOUTH MAIN ST, HOUSTON, TX 77030(713) 799-2300(713) 794-3380 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Thomas Bradley Edwards M.d. NPPES

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

THOMAS BRADLEY EDWARDS M.D. (NPI 1528056033) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (L6367) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1995).

NPPES Registry Identity

NPI1528056033

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameTHOMAS BRADLEY EDWARDSCredential: M.D.

Location Address7401 SOUTH MAIN STHouston, TX 77030-4509

Mailing Address7401 South Main StHouston, TX 77030-4509 · (713) 799-2300 · Fax (713) 794-3378

Phone(713) 799-2300

Fax(713) 794-3380

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1995

Enumeration DateOctober 10, 2005

Last NPPES UpdateMarch 2, 2011

✔ NPI 1528056033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · L6367

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

7401 SOUTH MAIN ST, Houston, TX 77030

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Other Identifiers 3

Medicare ID-Type UnspecifiedED08A7072TX

Medicaid160555901TX

Medicare UPING46724TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Thomas Bradley 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 ID8325090764

PECOS Enrollment IDI20110819000115

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 16

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.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

675 services451 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.

499 services334 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

135 services135 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

115 services96 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.

112 services100 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.

105 services28 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

63 services63 patients

Incision of shoulder tendon 23405

An incision of the shoulder tendon is a surgical procedure where a small cut is made to access the affected tendon. It's typically done to repair damage, such as a tear, and can help to alleviate pain and restore shoulder function. The procedure is performed under anesthesia.

45 services45 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

31 services20 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

30 services28 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

25 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

22 services22 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

16 services16 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

11 services11 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450610

Location921 GessnerHouston, TX 77024 · Harris County

Emergency services Birthing friendly

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number450804

Location7401 South Main StreetHouston, TX 77030 · Harris County

Emergency services

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX

OwnershipPhysician

CMS Certification Number670008

Location333 N Texas AvenueWebster, TX 77598 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

84.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

73.89

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

84%713 patients4/55-star benchmark: 100%

Breast Cancer Screening

66%309 patients3/55-star benchmark: 93%

Cervical Cancer Screening

53%165 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

62%362 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

39%804 patients2/55-star benchmark: 88%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

97%36 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,868 patients4/55-star benchmark: 100%

e-Prescribing

99%139 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

86%692 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 83% · 767 patients

Patients screened: 87% · 767 patients

3%35 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

83%473 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

66%345 patients3/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88%72 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 728 patients

Patients totalRate: 3% · 729 patients

3%729 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

ORTHOPEDIC HOSPITAL LTD

General Acute Care Hospital

7401 SOUTH MAIN ST
HOUSTON, TX 77030

Harris County (713) 799-8600

JAMES B BENNETT M.D.

Orthopaedic Surgery (Hand Surgery)

7401 SOUTH MAIN ST, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030

Harris County (713) 799-2300

FONDREN ORTHOPEDIC GROUP L.L.P.

Orthopaedic Surgery

7401 SOUTH MAIN ST
HOUSTON, TX 77030

Harris County (713) 799-2300

CARTER CRAIG CROUCH M.D.

Orthopaedic Surgery (Hand Surgery)

7401 SOUTH MAIN ST, FONDREN ORTHOPEDIC GROUP L.L.P.
HOUSTON, TX 77030

Harris County (713) 799-2300

JAMES MICHAEL BENNETT M.D.

Orthopaedic Surgery

7401 SOUTH MAIN ST
HOUSTON, TX 77030

Harris County (713) 799-2300

GREGORY W STOCKS M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

7401 SOUTH MAIN ST
HOUSTON, TX 77030

Harris County (713) 799-2300

MARK R BRINKER M.D.

Orthopaedic Surgery

7401 SOUTH MAIN ST
HOUSTON, TX 77030

Harris County (713) 799-2300

GARY T BROCK M.D.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

7401 SOUTH MAIN ST
HOUSTON, TX 77030

Harris County (713) 799-2300

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 Thomas Edwards's NPI number?

The NPI number for Thomas Edwards is 1528056033. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Thomas Edwards located?

Thomas Edwards practices at 7401 South Main St, Houston, TX 77030. The listed phone number is (713) 799-2300.

What is Thomas Edwards's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Edwards enrolled in Medicare?

Yes. Thomas 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 Thomas Edwards accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Thomas 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.

Is Thomas Edwards affiliated with any hospitals?

According to CMS data, Thomas Edwards is affiliated with Christus Southeast Texas- St Elizabeth, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital, Texas Orthopedic Hospital and Houston Physicians' Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Edwards was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.