THOMAS JOSEPH EDD M.D.
NPI 1538514864
Internal Medicine in Buffalo, NY

Q: What is Thomas Edd's NPI number?

The NPI number for Thomas Edd is 1538514864. It was assigned to this individual provider in the NPPES registry on April 23, 2016.

Q: What is Thomas Edd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Edd was last updated on October 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 23, 2016PECOS EnrolledAccepts Medicare Assignment

91.27/100

CMS Quality Rating

ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300(716) 845-3549 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2023, Oct 29, 2019, Sep 11, 2019 (3 updates tracked since 2019).

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About Thomas Joseph Edd M.d. NPPES

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

THOMAS JOSEPH EDD M.D. (NPI 1538514864) is an individual internal medicine provider in Buffalo, New York, licensed in New York (300199) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538514864

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTHOMAS JOSEPH EDDCredential: M.D.

Location AddressELM AND CARLTON STBuffalo, NY 14263-1240

Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300

Phone(716) 845-2300

Fax(716) 845-3549

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 23, 2016

Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1538514864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 300199

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

ELM AND CARLTON ST, Buffalo, NY 14263

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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 Joseph Edd 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 ID3476848573

PECOS Enrollment IDI20190919003003

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.

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.

15 services15 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330078

Location2157 Main StreetBuffalo, NY 14214 · Erie County

Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330102

Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County

Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330188

Location5300 Military RoadLewiston, NY 14092 · Niagara County

Emergency services Birthing friendly

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330229

Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County

Emergency services

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330279

Location565 Abbott RoadBuffalo, NY 14220 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

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.

91.27/100

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

Scored as part of a group practice

Quality

73.6

Improvement Activities

Cost

85.96

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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.

MICHELLE DOYLE MCCARTHY PA

Physician Assistant