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MICHAEL H. EDWARDS MD
NPI 1548244221
Internal Medicine - Rheumatology in Waconia, MN

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
500 S MAPLE ST, WACONIA, MN 55387(952) 442-2191(952) 442-8064 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael H. Edwards Md NPPES

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

MICHAEL H. EDWARDS MD (NPI 1548244221) is an individual rheumatology provider in Waconia, Minnesota, licensed in Kentucky (30352) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1548244221
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMICHAEL H. EDWARDSCredential: MD
Location Address500 S MAPLE STWaconia, MN 55387-1752
Mailing Address500 S Maple StWaconia, MN 55387-1752 · (952) 442-2191 · Fax (952) 442-8064
Phone(952) 442-2191
Fax(952) 442-8064
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 6, 2005
Last NPPES UpdateOctober 2, 2013
✔ NPI 1548244221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in KY · 30352
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
500 S MAPLE ST, Waconia, MN 55387
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified0366655KY
Medicare UPING22187KY
Medicaid64303522KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael H. 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 ID1850294281
PECOS Enrollment IDI20120809000894
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ridgeview Medical Center
Same address
General Acute Care Hospital
500 S MAPLE ST
Waconia, MN 55387
  • Reassigned Medicare billing, Minnesota enrollment
  • 581 clinicians in this Medicare group
NPI 1275608457 (952) 442-2191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 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.
56 services49 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.
40 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240187
Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County
Emergency services Birthing friendly

Ridgeview Sibley Medical Center

Critical Access Hospitals · Arlington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241311
Location601 West ChandlerArlington, MN 55307 · Sibley County
Emergency services

Minnesota Valley Health Center Inc

Critical Access Hospitals · Le Sueur, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241375
Location621 South Fourth StreetLe Sueur, MN 56058 · Le Sueur County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

MR. JEFFREY DUANE MARTIN CRNA
Nurse Anesthetist, Certified Registered
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
RIDGEVIEW MEDICAL CENTER
Non-Pharmacy Dispensing Site
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 653-2528
SARA MAURER CNP
Nurse Practitioner (Adult Health)
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
DR. BRUCE HUBBARD M.D.
Emergency Medicine
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
CYNTHIA MOHNEN BRICK CRNA
Nurse Anesthetist, Certified Registered
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
ANDREW TYLER MILLER MD
Radiology (Diagnostic Radiology)
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
MARY K. JORDAN LICSW
Social Worker
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191
RIDGEVIEW ANESTHESIA ASSOC, P.A.
Anesthesiology
500 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 442-2191

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 Michael Edwards's NPI number?

The NPI number for Michael Edwards is 1548244221. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Michael Edwards located?

Michael Edwards practices at 500 S Maple St, Waconia, MN 55387. The listed phone number is (952) 442-2191.

What is Michael Edwards's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Edwards enrolled in Medicare?

Yes. Michael 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.

Which organization bills Medicare for Michael Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Edwards reassigns Medicare benefits to Ridgeview Medical Center (Waconia, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Edwards accept?

Health plans from HealthPartners list Michael 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 Michael Edwards affiliated with any hospitals?

According to CMS data, Michael Edwards is affiliated with Ridgeview Medical Center, Mayo Clinic Health System - Mankato, Hutchinson Health, Ridgeview Sibley Medical Center and Minnesota Valley Health Center Inc.

When was this NPI record last updated?

The NPPES record for Michael Edwards was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.